Specialized Therapy Services, LLC
NPI 1396903209ActiveOrganization· Occupational Therapist· Hattiesburg, MS
Occupational Therapist in Hattiesburg, Mississippi, registered in NPPES in May 2008. The authorized official on file is Mandy K. Brunson, Office Manager.
Overview
| NPI | 1396903209 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 28, 2008 |
| Last updated in NPPES | Sep 11, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | OT0493 | MS |
| Physical Therapist | 225100000X | PT0932 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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