Dalton Frederick, OTD, OTR/L
Occupational Therapist · Vancleave, MS
Dalton Frederick, OTD, OTR/L is an occupational therapist with a practice address in Vancleave, Mississippi, and NPI 1811776701, issued on Sep 28, 2023. Check the license (Mississippi OT-4052, as entered in NPPES) with the Mississippi board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Dalton Frederick
- Credential
- OTD, OTR/L
- Primary taxonomy
- Occupational Therapist 225X00000X
- License number
- OT-4052 MS
Self-reported in NPPES; status is on the state search - Practice location
- 6300 E Lake Blvd Ste 101, Vancleave, MS 39565
- Phone
- (228) 215-2240
- Enumerated
- Sep 28, 2023
- Record last updated
- Aug 22, 2024
- Fax
- (228) 215-2241
- Medicare enrollment
- Enrolled (PECOS I20231023002550); accepts Medicare assignment
- Medical or professional school
- University Of Mississippi School Of Medicine, 2023
- Entity
- Type 1 · individual
Also registered at 6300 E Lake Blvd Ste 101
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Leigh ChiassonPhysical Therapist1174386015
- Niya Cooks, OTR/LOccupational Therapist1770448441
- Jazmine Davis, DPTPhysical Therapist1114715141
- Melissa HartsfieldOccupational Therapist1457894255
- Anil Mangal, DPTPhysical Therapist1760368757
- Harrison OlingerPhysical Therapist1952916637
Verify Dalton Frederick in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Mississippi board licenses this profession
Search for license OT-4052Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Bienville Therapy, LLCVancleave, MS
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
8 occupational therapist records list a practice address in Vancleave
They are 8 of the 82 NPPES records with a practice address in Vancleave, and 951 occupational therapist records in Mississippi.
All 8 in Vancleave → All 951 in Mississippi → Every provider in Vancleave →
Other occupational therapist records in Mississippi
- Megan AbelHattiesburg, MS1487964920
- Morgan AbellOcean Springs, MS1972244432
- Christine Ackerman, OTGulfport, MS1033415906
- Ginger Adair, OTR/LNew Albany, MS1023326444
- Kayla Adair, OTR/LSouthaven, MS1588063762
- Rebekah AdamsOxford, MS1255903365
- Jasper Adcock, DPT, OTR/L, RHIABrandon, MS1942556311
- Trent AdkinsPhiladelphia, MS1790045276
- Bethany Aiken, OTOxford, MS1053868299
- Charles Albright, OTR/LTupelo, MS1174932834
Common questions
What is Dalton Frederick, OTD, OTR/L's NPI number?
Dalton Frederick, OTD, OTR/L's National Provider Identifier (NPI) is 1811776701, issued on Sep 28, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Dalton Frederick, OTD, OTR/L located?
The NPPES record lists a practice address at 6300 E Lake Blvd Ste 101, Vancleave, MS, 39565. Phone: (228) 215-2240. Providers update this record themselves, so call before visiting.
How can I verify Dalton Frederick, OTD, OTR/L's license?
NPPES lists Mississippi license number OT-4052, as entered by the provider. Search the Mississippi board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.