Individual provider Active NPI

Kristin Ferguson, PT

  • Physical Therapist
  • Carmichael, CA
National Provider Identifier
1386630689
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24972 Issued in CA
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

Updated by the provider on Apr 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ZZZ04666ZOtherCAGROUP 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

LicenseStateTypeSpecialty
PT24972CAMDPhysical Therapist
24972CAMDGerontology Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Motion Recovery Physical Therapy Inc Physical Therapist CurrentSince Feb 16, 2010 Accepting new patients
Recovery Physical Therapy,PC Physical Therapist PastSince Feb 16, 2010 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.

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.

Verify at the official NPI Registry.