Niki Smith, | |
90a Clark Blvd, Tupelo, MS 38804-2801 | |
(662) 840-0535 | |
Not Available |
Full Name | Niki Smith |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 90a Clark Blvd, Tupelo, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619367547 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT1363 (Mississippi) | Primary |
Provider Name | Tri-vista Rehab, Inc. |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1982799516 PECOS PAC ID: 0345390308 Enrollment ID: O20200930000089 |
Mailing Address | Practice Location Address |
---|---|
Niki Smith, 191 Highway 45, Rienzi, MS 38865-9542 Ph: () - | Niki Smith, 90a Clark Blvd, Tupelo, MS 38804-2801 Ph: (662) 840-0535 |
Caley O'callaghan Speck, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1211 S Gloster St Ste C, Tupelo, MS 38801 Phone: 662-432-1523 | |
Mallory V Peden, MOT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 960 Commonwealth Blvd, Tupelo, MS 38804 Phone: 662-260-3789 Fax: 662-260-3790 | |
Erin Olivia Goode, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 960 Commonwealth Blvd, Tupelo, MS 38804 Phone: 662-260-3789 | |
Ms. Debra Pasmore Bradsher, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 90 Clark Blvd, Tupelo, MS 38804 Phone: 662-840-0535 | |
Lydia Marie Thomas, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1150 S Green St Ste D, Tupelo, MS 38804 Phone: 601-815-3575 | |
Mrs. Leah Mrs Hawks, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1901 Briar Ridge Rd, Tupelo, MS 38804 Phone: 662-844-0675 | |
Michael Alexander Pannell, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 499 Gloster Creek Vlg Ste F5, Tupelo, MS 38801 Phone: 662-841-0551 |