Individual provider Active NPI

Mary Katharine Klopfenstein, OT

  • Occupational Therapist
  • Paris, TN
National Provider Identifier
1104854546
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1335 Issued in TN
Practice address
1015 Kelley Dr Ste 101
Paris, TN 38242-5820
Phone
(731) 644-0002
Fax
(731) 641-0030
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1335 TN Primary

Addresses

Primary practice location

1015 Kelley Dr Ste 101
Paris, TN 38242-5820

Mailing address

1015 Kelley Dr Ste 101
Paris, TN 38242-5820
Phone (731) 644-0002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070412000648 TN Practitioner - Occupational Therapist in Private Practice 4082525035 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aegis Group Practice LLCGroup PAC ID 5193036432, 399 clinicians

Practice addresses (Care Compare)

1535 Appling Care LN
Cordova, TN 38016-4994
Phone (901) 883-0262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1335TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Occupational Therapist CurrentSince Jan 2, 2025 Accepting new patients
Aegis Group Practice LLC Occupational Therapist CurrentSince Jan 2, 2025 Accepting new patients
Empowerme Rehabilitation, LLC Occupational Therapist CurrentSince Mar 24, 2022 Accepting new patients
Empowerme Rehabilitation, LLC Occupational Therapist CurrentSince Mar 24, 2022 Accepting new patients
Aegis Group Practice LLC Occupational Therapist Current Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

1535 Appling Care Ln
Cordova, TN 38016
Phone (901) 377-7500

1020 Charlie Daniels Pkwy
Mt Juliet, TN 37122
Phone (615) 758-4800

Organizations & group practices 28

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 28

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104854546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 KELLEY DR STE 101",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382425820",
            "telephone_number": "731-644-0002",
            "fax_number": "731-641-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 KELLEY DR STE 101",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382425820",
            "telephone_number": "731-644-0002",
            "fax_number": "731-641-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOPFENSTEIN",
        "first_name": "MARY",
        "middle_name": "KATHARINE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "1335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.