Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1346507787 Individual Practitioner Male Practitioner

Willie J Powell , COTA, L

Occupational Therapy Assistant • Tupelo, MS

Professional Overview & Biography Verified Profile Summary

Willie Powell, COTA, L is a registered healthcare professional specializing in Occupational Therapy Assistant in Tupelo, MS. Practice services are available at 2844 TRACELAND DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2844 Traceland Dr

Tupelo, MS 388014200

Telephone 6626803148
Associated Practice Facility / Clinic
🏢 Synchronous Medical Supply Facility NPI 1760429658

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapy Assistant in Tupelo, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Tupelo, MS (357 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Occupational Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 224Z00000X

State License MS TA2611

An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield
314000000X (MS)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Erwin Murillo

Occupational Therapist

NPI 1073018776
Carlo Cereno

Physical Therapist

NPI 1154815934
Brittany Box , PTA

Physical Therapy Assistant

NPI 1205193075

Physical Therapist Assistant

James Houston , OTR

Skilled Nursing Facility

NPI 1255723730

Occupational Therapist Registered

Michelle Tobia , MS CCC-SLP

Speech-Language Pathologist

NPI 1336376565

MSCCCSLP

Melissa Bukovi

Speech-Language Pathologist

NPI 1427594340

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 23, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location April 23, 2012

Registered at 2844 TRACELAND DR, TUPELO, MS 388014200 (Tel: 6626803148)

📍
Updated Business Mailing Address April 23, 2012

Registered at 2844 TRACELAND DR., TUPELO, MS 38803

👤
Provider Name / Credentials Updated April 23, 2012

Recorded as WILLIE POWELL, COTA/L

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2012

Occupational Therapy Assistant (License #TA2611 in MS)

🟢
Initial NPI Registration & Enumeration April 23, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1346507787
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2012
Last Update: April 23, 2012
Sole Proprietor: No

Mailing Address

2844 Traceland Dr.

Tupelo, MS 38803

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.