Active NPI
Kristin Ferguson, PT
- Physical Therapist
- Carmichael, CA
National Provider Identifier
1386630689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT24972
- Practice address
- 4737 El Camino Ave
Carmichael, CA 95608-4938 - Phone
- (916) 487-3473
- Fax
- (916) 487-3483
- NPI assigned
- Sep 22, 2005
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT24972 | CA | Primary |
Addresses
Primary practice location
4737 El Camino Ave
Carmichael, CA 95608-4938
Mailing address
4737 El Camino Ave
Carmichael, CA 95608-4938
Phone (916) 487-3473
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ04666Z | Other | CA | GROUP BS PROV # |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT24972 | CA | MD | Physical Therapist |
| 24972 | CA | MD | Gerontology Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Motion Recovery Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Recovery Physical Therapy,PC | Physical Therapist | Past | Accepting new patients |
| Feld Care Therapy Inc | Physical Therapist | Past | Accepting new patients |
Locations
650 University Ave
Ste 203
Sacramento, CA 95825
Phone (916) 649-0700
Organizations & group practices 3
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.
-
- Physical Therapist
- Sacramento, CA
- NPI 1851478986
-
- Physical Therapist
- Tampa, FL
- NPI 1134075864
-
- Physical Therapist
- Glendale, NY
- NPI 1407991805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396310400000",
"number": "1386630689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4737 EL CAMINO AVE",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956084938",
"telephone_number": "916-487-3473",
"fax_number": "916-487-3483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4737 EL CAMINO AVE",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956084938",
"telephone_number": "916-487-3473",
"fax_number": "916-487-3483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "KRISTIN",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-22",
"last_updated": "2014-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT24972",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP BS PROV #",
"identifier": "ZZZ04666Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.