MEDICARE: GO THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1225924590
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GO THERAPY LLC

Provider Business Mailing Address
First Line	:	6161 HIGHWAY 547
Second Line	:
City	:	PORT GIBSON
State	:	MS
Zip	:	39150-2912
Country	:	US
Telephone Number	:	601-529-9084
Fax Number	:	601-994-6329

Provider Business Practice Location Address
First Line	:	6161 HIGHWAY 547
Second Line	:
City	:	PORT GIBSON
State	:	MS
Zip	:	39150-2912
Country	:	US
Telephone Number	:	601-529-9084
Fax Number	:	601-994-6329

Authorized Official
Title or Position	:	OWNER
Name	:	MS. SUMMER FIFE
Credential	:
Telephone Number	:	601-529-9084

Provider Enumeration Date	:	06/14/2025
Last Update Date	:	06/21/2025

Similar Medicare Providers

1740060045 — OLD COLONY REHABILITATION LLC
Practice Location Address:

6161 HIGHWAY 547
PORT GIBSON, MS
39150-2912

Practice Phone: 601-529-9084
Practice Fax:

1881794576 — DR. LAURA JANINE FRIEDMAN BEECHER PH.D.
Practice Location Address:

17 S MARYLAND AVE
PORT WASHINGTON, NY
11050-2912

Practice Phone: 516-767-1160
Practice Fax:

1770647729 — CALHOUN COUNTY HEALTH DEPARTMENT
Practice Location Address:

117 W ASH ST
PORT LAVACA, TX
77979-2912

Practice Phone: 361-552-9721
Practice Fax:

1669593778 — MRS. CAROL E SMALDINO MSW
Practice Location Address:

17 S MARYLAND AVE
PORT WASHINGTON, NY
11050-2912

Practice Phone: 516-883-6439
Practice Fax:

1235133968 — CLAIBORNE COUNTY FAMILY HEALTH CENTER
Practice Location Address:

2045 HIGHWAY 61 NORTH
PORT GIBSON, MS
39150-4262

Practice Phone: 601-437-3049
Practice Fax: 601-437-3051

1225012941 — CLAIBORNE COUNTY NURSING CENTER INC
Practice Location Address:

2124 OLD HIGHWAY 61 S
PORT GIBSON, MS
39150-2589

Practice Phone: 601-437-8737
Practice Fax: 601-437-8724

Directions to “GO THERAPY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.