Organization Active NPI

Pine Belt Therapy Services, LLC

  • Occupational Therapist
  • Hattiesburg, MS
National Provider Identifier
1679405245
Registry record updated May 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
PINE BELT THERAPY SERVICES, LLC
Practice address
4403 W 4TH St
Hattiesburg, MS 39402-1006
Phone
(601) 325-0216
NPI assigned
May 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2026

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

Authorized official

Name
Dr. Reagan Mayberry, OTDNPI 1023844131
Title
Occupational Therapist / Owner
Phone
(601) 325-0216

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

4403 W 4TH St
Hattiesburg, MS 39402-1006

Mailing address

4403 W 4TH St
Hattiesburg, MS 39402-1006
Phone (601) 325-0216

National Provider Directory

National Provider Directory

Locations

4403 W 4th St
Hattiesburg, MS 39402
Phone (601) 325-0216

Practitioners & affiliated clinicians

Practitioners 1

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": "1780099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780099200000",
    "number": "1679405245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 W 4TH ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021006",
            "telephone_number": "601-325-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 W 4TH ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021006",
            "telephone_number": "601-325-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE BELT THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-30",
        "last_updated": "2026-05-30",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "MAYBERRY",
        "authorized_official_first_name": "REAGAN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST / OWNER",
        "authorized_official_telephone_number": "601-325-0216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTD"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2026; 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.