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SPECIALIZED THERAPY SERVICES LLC NPI 1396903209


NPI Information

NPI: 1396903209
Provider Name: SPECIALIZED THERAPY SERVICES, LLC
Classification: Occupational Therapist - 225X00000X
Entity Type: Organization
Address:
16 OFFICE PARK DR
SUITE 21
HATTIESBURG, MS
ZIP 39402
Phone: (601) 296-9191
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SPECIALIZED THERAPY SERVICES, LLC is an occupational therapist in Hattiesburg, MS. The provider is an occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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. SPECIALIZED THERAPY SERVICES, LLC NPI is 1396903209. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

16 OFFICE PARK DR
SUITE 21
HATTIESBURG, MS
ZIP 39402-020
Phone: (601) 296-9191
Fax: (601) 296-9190

The provider's authorized official is Mandy K Brunson .
The authorized official title is Office Manager and has the following contact phone number (601) 296-9191.

The enumeration date for this NPI number is 5/28/2008 and was last updated on 9/11/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225100000XPhysical TherapistPT0932MISSISSIPPINo
2225X00000XOccupational TherapistOT0493MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103389700MEDICAIDMISSISSIPPI
2587471053AOTHERMISSISSIPPIBLUE CROSS BLUE SHIELD
3P00062876OTHERMISSISSIPPIMEDICARE RAILROAD
4670000041OTHERMISSISSIPPIMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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