Active NPI
Simple Strokes Therapy
- Durable Medical Equipment & Medical Supplies
- Southaven, MS
National Provider Identifier
1891951372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0783311.1
- Legal business name
- SIMPLE STROKES THERAPY
- Practice address
- 83 Airways PL
Southaven, MS 38671-5885 - Phone
- (662) 349-8787
- Fax
- (662) 349-8757
- NPI assigned
- Aug 4, 2008
- Last updated
- Aug 4, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Robin P Smith, MPT
- Title
- Owner/Clinical Director
- Phone
- (662) 349-8787
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0783311.1 | MS | Primary |
Addresses
Primary practice location
83 Airways PL
Southaven, MS 38671-5885
Mailing address
83 Airways PL
Southaven, MS 38671-5885
Phone (662) 349-8787
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0783311.1 | Other | MS | DME |
| 017154659 | Other | MS | SALES TAX PERMIT |
National Provider Directory
National Provider Directory- Tax ID family
- Simple Strokes Therapy Consultants PA
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Occupational Therapist
- Gulfport, MS
- NPI 1508250184
-
- Physical Therapist
- Southaven, MS
- NPI 1780605683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217808000000",
"number": "1891951372",
"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": "83 AIRWAYS PL",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386715885",
"telephone_number": "662-349-8787",
"fax_number": "662-349-8757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMPLE STROKES THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-04",
"last_updated": "2008-08-04",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "ROBIN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
"authorized_official_telephone_number": "662-349-8787",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MPT"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MS",
"license": "0783311.1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME",
"identifier": "0783311.1",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SALES TAX PERMIT",
"identifier": "017154659",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.