Individual provider Active NPI

Kelsey Turner Forlines, COTA/L

  • Occupational Therapy Assistant
  • Lebanon, TN
National Provider Identifier
1114816980
Registry record updated Jun 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
3598 Issued in TN
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

Updated by the provider on Jun 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.