Specialized Therapy Services, Llc

LBN: Specialized Therapy Services, Llc
Specialized Therapy Services, Llc is an health care organization with primary practice located at 16 Office Park Dr Suite 21, Hattiesburg MS 39402-6020. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is the primary health care specialty. Specialized Therapy Services, Llc can be contacted via phone (601) 296-9191, or through Brunson, Mandy K via phone (601) 296-9191.

Contact Information

Primary practice address
16 Office Park Dr Suite 21 Hattiesburg MS 39402-6020
Phone: (601) 296-9191
Fax: (601) 296-9190
Website:
Map and Directions
Authorized official contact:
Name: Brunson, Mandy K
Phone: (601) 296-9191

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT0932 Mississippi
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT0493 Mississippi

Profile Details

NPI number 1396903209
LBN Legal business name Specialized Therapy Services, Llc
DBA Doing business as
Authorized official Brunson, Mandy K
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2008
Last updated Sep 11th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1396903209 NPPES
Mississippi Other 587471053A BLUE CROSS BLUE SHIELD
Mississippi Other P00062876 BLUE CROSS BLUE SHIELD
Mississippi MEDICAID 03389700 BLUE CROSS BLUE SHIELD
Mississippi Other 670000041 BLUE CROSS BLUE SHIELD

Popular Providers