Summer Hayes Fife, MOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT2120 Issued in MS

Practice address

1069 Old Colony Rd
Port Gibson, MS 39150-2545

Phone

(601) 529-9084

NPI assigned

Aug 9, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Go Therapy LLC

  • Occupational Therapist
  • Port Gibson, MS
  • NPI 1225924590
  Medicare reassignment NPD Authorized official
• Old Colony Rehabilitation LLC

  • Occupational Therapist
  • Port Gibson, MS
  • NPI 1740060045
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1013108430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1069 OLD COLONY RD",
            "city": "PORT GIBSON",
            "state": "MS",
            "postal_code": "391502545",
            "telephone_number": "601-529-9084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 OLD COLONY RD",
            "city": "PORT GIBSON",
            "state": "MS",
            "postal_code": "391502545",
            "telephone_number": "601-529-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIFE",
        "first_name": "SUMMER",
        "middle_name": "HAYES",
        "credential": "MOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT2120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David M. Headley, M.D. PA
• Delta Therapy Solutions, LLC
• Eli George Ellis Jr., DDS
• Edith Ifeyinwa Ezekwe, RDN, ASCP,
• Family Wellness Clinic LLC
• Linda B Fouche
• Shaunda T Freeman, FNP
• Ftfrx LLC
• Go Therapy LLC
• Jennifer Leigh Greer, FNP-C

• Occupational Therapist in Port Gibson, MS
• Providers in Port Gibson, MS by specialty
• Occupational Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.