SPECIALIZED THERAPY SERVICES, LLC (NPI# 1396903209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396903209 |
| Entity Type | Organization |
| Organization Name | SPECIALIZED THERAPY SERVICES, LLC |
| Practice Address |
16 Office Park Dr Suite 21 Hattiesburg MS 39402-6020 |
| Practice Telephone | 6012969191 |
| Practice Fax Number | 6012969190 |
| Mailing Telephone | 6012969191 |
| Mailing Fax Number | 6012969190 |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-09-11 |
| Authorized Official Name | MS. MANDY K BRUNSON (OFFICE MANAGER) |
| Authorized Official Telephone | 6012969191 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | PT0932 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225X00000X | Occupational Therapist | OT0493 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 03389700 | 05 | |
| MS | BLUE CROSS BLUE SHIELD | 587471053A | 01 |
| MS | MEDICARE RAILROAD | P00062876 | 01 |
| MS | MEDICARE | 670000041 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730391921 | Specialized Therapy Services, LLC | Clinic/Center | 7206 Hull Street Rd, Suite 110, Richmond, VA 23225 | 2007-05-03 |
| 1962613687 | Specialized Therapy Services, LLC | Physical Therapist | 2758 W Market St, Lima, OH 45805-2120 | 2007-05-24 |
| Street Address |
16 OFFICE PARK DR SUITE 21 |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-6020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841271293 | Christy S Barnett | Internal Medicine | 16 Office Park Dr, Suite 5, Hattiesburg, MS 39402-6020 | 2005-11-10 |
| 1265615181 | Humphreys Family Dental, LLC | Dentist | 16 Office Park Dr, Suite 1, Hattiesburg, MS 39402-6020 | 2007-12-13 |
| 1073721528 | Douglas Earl Peterman | Physical Therapist | 16 Office Park Dr, Suite 21, Hattiesburg, MS 39402-6020 | 2007-05-18 |
| 1639289945 | Kimberly C Ryder | Physical Therapist | 16 Office Park Dr, Suite 21, Hattiesburg, MS 39402-6020 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| 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. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548867088 | Julia Hovatter | Occupational Therapist | 4700 Hardy St Ste J1, Hattiesburg, MS 39402-1300 | 2020-10-07 |
| 1972642403 | Cliff D Dedeaux | Occupational Therapist | 1520 Adeline St, Suite B, Hattiesburg, MS 39401-6265 | 2007-02-05 |
| 1841385481 | Robert Bishop | Occupational Therapist | 16 Office Park Drive, Suite 21, Hattiesburg, MS 39402 | 2006-10-03 |
| 1548805468 | Chrystal B Jones | Occupational Therapist | 103 Fox Chase Dr, Hattiesburg, MS 39402-2575 | 2019-11-14 |
| 1770047904 | Mary Catherine Barbato | Occupational Therapist | 103 Fox Chase Dr, Hattiesburg, MS 39402-2575 | 2019-01-22 |
| 1669946893 | Dawn Michelle Branan | Occupational Therapist | 103 Fox Chase Dr, Hattiesburg, MS 39402-2575 | 2019-01-22 |
| 1689156580 | Kathryn Bridges | Occupational Therapist | 103 Fox Chase Dr, Hattiesburg, MS 39402-2575 | 2018-09-06 |
| 1932607132 | Kerri Michelle Easterling | Occupational Therapist | 3688 Veterans Memorial Dr, Hattiesburg, MS 39401-8246 | 2018-01-23 |
| 1518347681 | John Michael Porter | Occupational Therapist | 103 Medical Park, Hattiesburg, MS 39401-9042 | 2015-06-04 |
| 1972912822 | Amy Mattox | Occupational Therapist | 10 Medical Blvd, Hattiesburg, MS 39401-7230 | 2014-08-05 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.