| Smart Therapy, Llc | |
|
276 Nissan Pkwy # B100 Canton MS 39046-7006 | |
| (601) 808-3028 | |
| Not Available |
| Full Name | Smart Therapy, Llc |
|---|---|
| Speciality | Occupational Therapist |
| Location | 276 Nissan Pkwy # B100, Canton, Mississippi |
| Authorized Official Name and Position | Melissa Williams (OWNER) |
| Authorized Official Contact | 6019415690 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smart Therapy, Llc 276 Nissan Pkwy # B100 Canton MS 39046-7006 Ph: (601) 808-3028 | Smart Therapy, Llc 276 Nissan Pkwy # B100 Canton MS 39046-7006 Ph: (601) 808-3028 |
| NPI Number | 1528494861 |
|---|---|
| Provider Enumeration Date | 09/18/2013 |
| Last Update Date | 11/18/2020 |
| Certification Date | 11/18/2020 |
| Medicare PECOS PAC ID | 1658657051 |
|---|---|
| Medicare Enrollment ID | O20170420000270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528494861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Marvin E Williams |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992093710 PECOS PAC ID: 0244405496 Enrollment ID: I20111216000166 |
| Provider Name | Rashad Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003174566 PECOS PAC ID: 8224345061 Enrollment ID: I20150911000379 |
| Provider Name | Courtney Franklin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1558613463 PECOS PAC ID: 9638502743 Enrollment ID: I20191204000098 |
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