Kersee Jo Burdette Worden, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

8142 Issued in TN

Practice address

1445 E 10TH St
Cookeville, TN 38501-2017

Phone

(931) 372-2567

NPI assigned

Sep 16, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Center of Vision Development, PLLC

  • Optometrist
  • Cookeville, TN
  • NPI 1558539759
  NPD
• Centers of Development, PLLC

  • Occupational Therapist
  • Cookeville, TN
  • NPI 1770771602
  NPD (past)

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1245067271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 EDGINGTON DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012915",
            "telephone_number": "615-609-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 E 10TH ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012017",
            "telephone_number": "931-372-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORDEN",
        "first_name": "KERSEE JO",
        "middle_name": "BURDETTE",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "8142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tory A. Woodard, PMHNP
• Mychicia Wooden, LPC-MHSP
• Amalia Gale Woods
• Clayton Cameron Woods, P.T.
• Tiffany Denise Wooten, O.D.
• Carey Lyn Workman, RD
• Billy Derek Worley, MD
• Lara Kaitlin Worley, DMD
• Sarah Goodman Worley, MD
• Addison Claire Wright, FNP-BC

• Occupational Therapist in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.