| Specialized Therapy Services, Llc | |
|
16 Office Park Dr, Suite 21, Hattiesburg, MS 39402-6020 | |
| (601) 296-9191 | |
| (601) 296-9190 |
| Full Name | Specialized Therapy Services, Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 16 Office Park Dr, Hattiesburg, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396903209 | NPI | - | NPPES |
| 587471053A | Other | MS | BLUE CROSS BLUE SHIELD |
| P00062876 | Other | MS | MEDICARE RAILROAD |
| 03389700 | Medicaid | MS | |
| 670000041 | Other | MS | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT0932 (Mississippi) | Secondary |
| 225X00000X | Occupational Therapist | OT0493 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Specialized Therapy Services, Llc 16 Office Park Dr, Suite 21, Hattiesburg, MS 39402-6020 Ph: (601) 296-9191 | Specialized Therapy Services, Llc 16 Office Park Dr, Suite 21, Hattiesburg, MS 39402-6020 Ph: (601) 296-9191 |
Jessica Kopf Cornett, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Medical Blvd, Hattiesburg, MS 39401 Phone: 601-264-0310 | |
Jeremy Lofton, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 Fox Chase Dr, Hattiesburg, MS 39402 Phone: 601-366-1081 | |
Carly Toups, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 Fox Chase Dr, Hattiesburg, MS 39402 Phone: 601-366-1081 | |
Lee Pace, FNP, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 6051 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-288-7000 | |
Alicia Thornton, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 Fox Chase Dr, Hattiesburg, MS 39402 Phone: 601-366-1081 Fax: 601-607-1377 | |
Kellie Sasser, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Medical Blvd, Hattiesburg, MS 39401 Phone: 601-543-0310 | |
Naja Walton, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 Fox Chase Dr, Hattiesburg, MS 39402 Phone: 601-366-1081 |