Southern Pediatric Therapy
Southern Pediatric Therapy is a healthcare organization registered as Pediatric Occupational Therapist in Hernando, MS, holding Type 2 (organization) NPI 1063985885 since 2019. The authorized official on file is Jennifer Pacileo, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063985885 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Southern Pediatric Therapy |
| Practice address | 1772 CARLEE DR, Hernando, MS, 38632 |
| Phone | 6624692906 |
| Enumeration date | 2019-01-03 |
| Last updated in NPPES | 2019-01-03 |
Authorized official
| Name | Jennifer Pacileo |
|---|---|
| Title | Owner |
| Phone | 6624692906 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225XP0200X | Pediatric Occupational Therapist | Primary | — | — |
Copy-ready billing details
Provider: Southern Pediatric Therapy NPI: 1063985885 Taxonomy: 225XP0200X (Pediatric Occupational Therapist) Address: 1772 CARLEE DR, Hernando, MS, 38632
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1356822795 | Jennifer Pacileo | Individual | Pediatric Occupational Therapist | Hernando, MS |
Verify this record
Cross-check NPI 1063985885 against the authoritative CMS record: view Southern Pediatric Therapy on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Southern Pediatric Therapy?
What is the NPI number for Southern Pediatric Therapy?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-01-03.