Ready, Set, Go Therapy, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

OT2062 Issued in MS

Legal business name

READY, SET, GO THERAPY, LLC

Practice address

201 Second St
Picayune, MS 39466-4001

Phone

(601) 799-4065

Fax

(601) 799-4064

NPI assigned

Jun 1, 2010

Organization subpart

No

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

Authorized official

Name

Amanda C Koch, LOTR

Title

Occupational Therapist

Phone

(601) 799-4065

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Stephanie Deanne Farrell, SPEECH PATHOLOGIST

  • Speech-Language Pathologist
  • Picayune, MS
  • NPI 1124352505
  NPD (past)

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420934400000",
    "number": "1740500784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N MAIN ST",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663313",
            "telephone_number": "601-799-4065",
            "fax_number": "601-620-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SECOND ST",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394664001",
            "telephone_number": "601-799-4065",
            "fax_number": "601-799-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "READY, SET, GO THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2015-01-11",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "601-799-4065",
        "authorized_official_credential": "LOTR"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MS",
            "license": "OT2062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00159232",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04273212",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• D'Anna Pullen, SLP
• Tram Bui Quang, PHARMD.
• Maribeth B Ramberg, RPT
• Emma Ray, OTR/L
• Jeffery Todd Rayburn, LPC
• Rebecca Blount LLC
• Mauricio Rendon Bernot, MD
• RH Emergency Medicine of Highland Community LLC
• RH Hospitalist Medicine of Highland Community LLC
• Rhonda Sanders, LCSW, LLC

• Specialist in Picayune, MS
• Providers in Picayune, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.