NPIMap

Organization Active NPI

Simple Strokes Therapy Consultants, PA

  • Pediatric Occupational Therapist
  • Gulfport, MS
National Provider Identifier
1508250184
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT2662 Issued in MS
Legal business name
SIMPLE STROKES THERAPY CONSULTANTS, PA
Practice address
12311 Ashley Dr Ste a
Gulfport, MS 39503-2950
Phone
(228) 357-5253
Fax
(662) 349-8757
NPI assigned
Mar 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Authorized official

Name
Mrs. Stacy C Mueller, OTR/L
Title
Clinical Director
Phone
(662) 349-8787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X OT2662 MS Primary

Addresses

Primary practice location

12311 Ashley Dr Ste a
Gulfport, MS 39503-2950

Mailing address

83 Airways PL
Southaven, MS 38671-5885
Phone (662) 349-8787

National Provider Directory

National Provider Directory
Tax ID family
Simple Strokes Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

83 Airways Pl
Southaven, MS 38671
Phone (662) 349-8787

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1508250184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 AIRWAYS PL",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715885",
            "telephone_number": "662-349-8787",
            "fax_number": "662-349-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12311 ASHLEY DR STE A",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032950",
            "telephone_number": "228-357-5253",
            "fax_number": "662-349-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE STROKES THERAPY CONSULTANTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "662-349-8787",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MS",
            "license": "OT2662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.