DALTON FREDERICK OTD, OTR/L
NPI 1811776701
Occupational Therapist in Vancleave, MS
About Dalton Frederick Otd, Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DALTON FREDERICK OTD, OTR/L (NPI 1811776701) is an individual occupational therapist in Vancleave, Mississippi, licensed in Mississippi (OT-4052) and active in the NPI registry since September 2023. He maintains a secondary practice location in Gulfport.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dalton Frederick Otd, Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Dalton Frederick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vancleave, MS 39565
- Reassigned Medicare billing, Mississippi enrollment
- 28 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VANCLEAVE, MS 39565
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dalton Frederick's NPI number?
The NPI number for Dalton Frederick is 1811776701. It was assigned to this individual provider in the NPPES registry on September 28, 2023.
Where is Dalton Frederick located?
Dalton Frederick practices at 6300 E Lake Blvd Ste 101, Vancleave, MS 39565. The listed phone number is (228) 215-2240.
What is Dalton Frederick's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Dalton Frederick enrolled in Medicare?
Yes. Dalton Frederick is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Dalton Frederick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dalton Frederick reassigns Medicare benefits to Bienville Therapy, LLC (Vancleave, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dalton Frederick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dalton Frederick accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Dalton Frederick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Dalton Frederick was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.