Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Lauren Smith Sultan, OTR

Individual provider Occupational Therapist · NPI 1295007375

Mrs. Lauren Smith Sultan, OTR is an Occupational Therapist in Private Practice in Southaven, Mississippi. Graduated from University of Tennessee, Hsc, College of Medicine in 2005, 21 years ago. Practices with Independent Physical Therapy of Georgia LLC, a 529-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Mississippi.

Years since qualifying
21
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
GA, MS
In the registry since
2012
Specialties on file
2
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

See every abbreviation used in this directory →

Practice location Address checks out

3451 Goodman Rd E Ste 108
Southaven, MS 38672-9305
Phone: (662) 788-0119
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 965 Windsor Rd, Grenada, MS 38901-5027 — (662) 809-1414

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT1949 (MS)
Occupational Therapist Taxonomy 225X00000X · Licence OT009596 (GA)

Record details

NPI number1295007375
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedFebruary 3, 2012
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Independent Physical Therapy Of Georgia Llc — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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