READY SET GO THERAPY LLC NPI 1740500784

NPI Information

  • NPI: 1740500784
  • Provider Name: READY, SET, GO THERAPY, LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 201 SECOND ST
    PICAYUNE, MS
    ZIP 39466
  • Phone: (601) 799-4065

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NPI Details

READY, SET, GO THERAPY, LLC is a specialist in Picayune, MS. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. READY, SET, GO THERAPY, LLC NPI is 1740500784. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

201 SECOND ST
PICAYUNE, MS
ZIP 39466-001
Phone: (601) 799-4065
Fax: (601) 799-4064

The provider's authorized official is Amanda C Koch .
The authorized official title is Occupational Therapist and has the following contact phone number (601) 799-4065.

The enumeration date for this NPI number is 6/1/2010 and was last updated on 1/11/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistOT2062MISSISSIPPIYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
104273212MEDICAIDMISSISSIPPI
200159232MEDICAIDMISSISSIPPI

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: 11/21/2025

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