MRS. LAUREN SMITH SULTAN OTR
NPI 1295007375
Occupational Therapist in Southaven, MS

Active since February 03, 2012Accepts Medicare Assignment
3451 GOODMAN RD E STE 108, SOUTHAVEN, MS 38672(662) 788-0119 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Lauren Smith Sultan Otr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LAUREN SMITH SULTAN OTR (NPI 1295007375) is an individual occupational therapist in Southaven, Mississippi, licensed in Mississippi (OT1949) and active in the NPI registry since February 2012. She maintains a secondary practice location in Grenada and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2005).

NPPES Registry Identity

NPI1295007375
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMRS. LAUREN SMITH SULTANCredential: OTR
Location Address3451 GOODMAN RD E STE 108Southaven, MS 38672-9305
Mailing Address1200 Corporate Dr Ste 400Hoover, AL 35242-5424 · (423) 238-7217
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2005
Enumeration DateFebruary 3, 2012
Last NPPES UpdateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
NPI 1295007375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Licenses Licensed in MS · OT1949 Licensed in GA · OT009596
Definition

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

3451 GOODMAN RD E STE 108, Southaven, MS 38672

Secondary Practice Location 1

Location 1965 Windsor RdGrenada, MS 38901-5027 · Phone (662) 809-1414

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Lauren Smith Sultan Otr is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860751997
PECOS Enrollment IDI20250730002647

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
3451 GOODMAN RD E STE 108
SOUTHAVEN, MS 38672
Physical Therapist
3451 GOODMAN RD E STE 108
SOUTHAVEN, MS 38672
Physical Therapist
3451 GOODMAN RD E STE 108
SOUTHAVEN, MS 38672
Physical Therapist
3451 GOODMAN RD E STE 108
SOUTHAVEN, MS 38672
Clinic/Center (Physical Therapy)
3451 GOODMAN RD E STE 108
SOUTHAVEN, MS 38672
Physical Therapist
3451 GOODMAN RD E STE 108
SOUTHAVEN, MS 38672
Physical Therapist
3451 GOODMAN RD E STE 108
SOUTHAVEN, MS 38672
Physical Therapist
3451 GOODMAN RD E STE 108
SOUTHAVEN, MS 38672

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295007375, enumerated as an "individual" on February 03, 2012.

The provider is located at 3451 GOODMAN RD E STE 108 SOUTHAVEN, MS 38672 and the phone number is (662) 788-0119.

Occupational Therapist with taxonomy code 225X00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama. Please consult your insurance carrier or call the provider to verify.