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

Niki Smith

Individual provider Occupational Therapist · NPI 1619367547

Niki Smith is an Occupational Therapist in Private Practice in Tupelo, Mississippi. Qualified in 1999, 27 years ago. Practices with Tri-Vista Rehab, Inc, a 26-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
27
Licensed in
MS
In the registry since
2015

Practice location Address checks out

90A Clark Blvd
Tupelo, MS 38804-2801
Phone: (662) 840-0535
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT1363 (MS)

Record details

NPI number1619367547
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 30, 2015
Last updated in NPPESJanuary 30, 2015
Mailing address191 Highway 45, Rienzi, MS 38865-9542

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Tri-Vista Rehab, Inc. — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Tupelo