Marcus Lydell Harris, OTR/L
Occupational Therapist in Ridgeland, MS. Individual provider (NPI-1).
NPI number1508104472
StatusActive
Last updated in NPPESJan 28, 2013
Details
- NPI
- 1508104472
- Entity type
- Individual (NPI-1)
- Name
- Mr. Marcus Lydell Harris
- Credential
- OTR/L
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 28, 2013
- Last updated
- Jan 28, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT2696 | MS | Yes |
Practice location
711 Avignon DrRidgeland, MS 39157-5120
Phone 601-605-6777 · Fax 601-607-1553
Mailing address
711 Avignon DrRidgeland, MS 39157-5120
Phone 601-605-6777 · Fax 601-607-1553
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 127 Occupational Therapist providers in Ridgeland · All 1,643 providers in Ridgeland
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