Individual provider Active NPI

Erin Stradley

  • Occupational Therapy Assistant
  • Canton, MS
National Provider Identifier
1861005977
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
TA3748 Issued in MS
Practice address
276 Nissan Pkwy Ste B100
Canton, MS 39046-7006
Phone
(601) 808-3028
NPI assigned
Aug 28, 2020
Last updated
Aug 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X TA3748 MS Primary

Addresses

Primary practice location

276 Nissan Pkwy Ste B100
Canton, MS 39046-7006

Mailing address

1638 N Old Canton Rd
Canton, MS 39046-9277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
TA3748MSMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Therapy, LLC CurrentSince Nov 22, 2020 Accepting new patients

Locations

276 Nissan Pkwy
#B100
Canton, MS 39046
Phone (601) 808-3028

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1861005977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 N OLD CANTON RD",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390469277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 NISSAN PKWY STE B100",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390467006",
            "telephone_number": "601-808-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRADLEY",
        "first_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MS",
            "license": "TA3748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.