Active NPI
Kelsey Turner Forlines, COTA/L
- Occupational Therapy Assistant
- Lebanon, TN
National Provider Identifier
1114816980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 3598
- Practice address
- 1690 Double Log Cabin Rd
Lebanon, TN 37087-7471 - Phone
- (615) 444-3282
- NPI assigned
- Jun 28, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 3598 | TN | Primary |
Addresses
Primary practice location
1690 Double Log Cabin Rd
Lebanon, TN 37087-7471
Mailing address
4344 Central Valley Dr
Hermitage, TN 37076-2643
Phone (662) 424-3476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751068800000",
"number": "1114816980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4344 CENTRAL VALLEY DR",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "370762643",
"telephone_number": "662-424-3476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1690 DOUBLE LOG CABIN RD",
"city": "LEBANON",
"state": "TN",
"postal_code": "370877471",
"telephone_number": "615-444-3282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORLINES",
"first_name": "KELSEY",
"middle_name": "TURNER",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-28",
"last_updated": "2025-06-28",
"certification_date": "2025-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TN",
"license": "3598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.