Individual provider Active NPI

Hannah Harrison Smallwood, DPT

  • Physical Therapist
  • Tupelo, MS
National Provider Identifier
1770151151
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT7130 Issued in MS
Practice address
600 Air Park Rd
Tupelo, MS 38801-7022
Phone
(662) 842-2100
Fax
(662) 842-2105
NPI assigned
Jun 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT7130 MS Primary

Addresses

Primary practice location

600 Air Park Rd
Tupelo, MS 38801-7022

Mailing address

600 Air Park Rd
Tupelo, MS 38801-7022
Phone (662) 842-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220509001718 MS Practitioner - Physical Therapist in Private Practice 6709263908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rebound Outpatient Physical Therapy PAGroup PAC ID 2860591120, 7 clinicians

Practice addresses (Care Compare)

600 Air Park Rd
Tupelo, MS 38801-7022
Phone (662) 842-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Outpatient Physical Therapy, PA Physical Therapist CurrentSince Jan 25, 2022 Accepting new patients

Locations

600 Air Park Rd
Tupelo, MS 38801
Phone (662) 842-2100

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1770151151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 AIR PARK RD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388017022",
            "telephone_number": "662-842-2100",
            "fax_number": "662-842-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 AIR PARK RD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388017022",
            "telephone_number": "662-842-2100",
            "fax_number": "662-842-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLWOOD",
        "first_name": "HANNAH",
        "middle_name": "HARRISON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT7130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.