Shayne Kirk Ferguson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

002058 Issued in KY

Practice address

1321 Ring Rd
Suite 103
Elizabethtown, KY 42701-8940

Phone

(270) 986-7432

Fax

(270) 986-7201

NPI assigned

Jan 24, 2007

Sex

Male

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1265587638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 RING RD",
            "address_2": "SUITE 103",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018940",
            "telephone_number": "270-986-7432",
            "fax_number": "270-986-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 RING RD",
            "address_2": "SUITE 103",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018940",
            "telephone_number": "270-986-7432",
            "fax_number": "270-986-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "SHAYNE",
        "middle_name": "KIRK",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "002058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Ann Felker
• Klayton Felty
• Jordan Brooke Fentress, CRNA
• Shelley M Fentress, LPCC
• Connie Elaine Ferguson
• Lisa-Anne Ferris
• Dalton Lee Festervan, DPT
• German S Fikhman, M.D.
• Carrie E. Filburn, APRN
• Amy Melissa Fincher, LPP

• Physical Therapist in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.