Austin Smith, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

314 Main St Ste C
Monticello, MS 39654-3702

Phone

(601) 587-2563

NPI assigned

Aug 2, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

University of Mississippi School of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Rehab Associates 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Professional Rehab Associates

  • Physical Therapist
  • McComb, MS
  • NPI 1801192307

  MS, Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Tri Therapy PLLC

  • Physical Therapy Assistant
  • Brookhaven, MS
  • NPI 1164109633
  NPD

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1992487672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "MONTICELLO",
            "state": "MS",
            "postal_code": "396540457",
            "telephone_number": "601-587-2563",
            "fax_number": "601-587-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 MAIN ST STE C",
            "city": "MONTICELLO",
            "state": "MS",
            "postal_code": "396543702",
            "telephone_number": "601-587-2563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 Brookway Blvd",
            "address_purpose": "LOCATION",
            "city": "Brookhaven",
            "state": "MS",
            "postal_code": "396013266",
            "country_code": "US",
            "telephone_number": "601-833-7317",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "335 E Bay St",
            "address_purpose": "LOCATION",
            "city": "Magnolia",
            "state": "MS",
            "postal_code": "396522815",
            "country_code": "US",
            "telephone_number": "601-783-0220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AUSTIN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rest Well Sleep Diagnostics, LLC
• Sacred Hearts Home Care LLC
• Molly Grace Ready Sasser, NP-C
• Sherry Chance Pippen, DMD, PA
• Amanda Rose Smith, FNP-C
• Shannon Smith
• South Mississippi Medical Supply and Veterans Serivces, LLC
• Southwest Mississippi Planning and Development District
• Southwest Mississippi Regional Medical Center
• Southwest Mississippi Regional Medical Center

• All providers in Monticello, MS
• Occupational Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.