Individual provider Active NPI

Jennifer Tull Morgan, MS, OTR/L, MBA, CLT

  • Occupational Therapist
  • Madisonville, TN
National Provider Identifier
1194394148
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT3293 Issued in TN
Practice address
4249 Highway 411 Ste 4
Madisonville, TN 37354-1544
Phone
(423) 442-4034
NPI assigned
Jun 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X
Ergonomics Occupational Therapist 225XE1200X
Gerontology Occupational Therapist 225XG0600X
Hand Occupational Therapist 225XH1200X
Neurorehabilitation Occupational Therapist 225XN1300X
Physical Rehabilitation Occupational Therapist 225XP0019X 3293 TN
Occupational Therapist 225X00000X OT3293 TN Primary

Addresses

Primary practice location

4249 Highway 411 Ste 4
Madisonville, TN 37354-1544

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

415 Isbill Rd Ste E
Madisonville, TN 37354-2148
Phone (423) 545-9544

Other names 1

  • Jennifer Tull Kinsey Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211226000007 TN Practitioner - Occupational Therapist in Private Practice 3971994104 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

4249 Hwy 411
Suite 4
Madisonville, TN 37354-1544
Phone (423) 442-4034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Master of Science

State licenses

LicenseStateTypeSpecialty
3293TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jenmobility Rehab Occupational Therapist CurrentSince Dec 6, 2021 Accepting new patients
Agilitas USA Inc Occupational Therapist CurrentSince Jan 13, 2025 Accepting new patients
Agilitas USA, Inc Occupational Therapist CurrentSince Jan 13, 2025 Accepting new patients
Results-Ast JV, LLC Occupational Therapist CurrentSince Jan 13, 2025 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444

415 Isbill Rd
Madisonville, TN 37354
Phone (423) 545-9544

4249 Highway 411
Ste 4
Madisonville, TN 37354
Phone (423) 436-0309

415 Isbill Rd
Ste E
Madisonville, TN 37354
Phone (423) 545-9544

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1194394148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4249 HIGHWAY 411 STE 4",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373541544",
            "telephone_number": "423-442-4034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 Isbill Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Madisonville",
            "state": "TN",
            "postal_code": "373542148",
            "country_code": "US",
            "telephone_number": "423-545-9544",
            "fax_number": "423-545-9554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "JENNIFER",
        "middle_name": "TULL",
        "credential": "MS, OTR/L, MBA, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "TN",
            "license": "3293",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "OT3293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KINSEY",
            "middle_name": "TULL",
            "credential": "MS, OTR/L, MBA, CLT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madisonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.