Kelsey L Ferguson
Individual provider Active NPI Occupational Therapist · Mt Juliet, TN
NPI 1407541345 · NPPES record last updated Apr 6, 2023
Key facts
- NPI
- 1407541345
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 7598 (TN)
- Practice address
- 2025 N Mount Juliet Rd Ste 130
Mt Juliet, TN 37122-3994 - Phone
- (615) 885-0200
- Fax
- (615) 885-0267
- NPI assigned
- Apr 6, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advanced Diagnostic Imaging PC
Practice addresses (Care Compare)
5651 Frist Blvd
Suite 200
Hermitage, TN 37076-2056
Phone (615) 885-0200
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230607000172 | TN | Practitioner - Occupational Therapist in Private Practice | 7113384108 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Results-Ast JV, LLC | Occupational Therapist | Current |
Accepting new patients |
| Advanced Diagnostic Imaging, PC | Occupational Therapist | Current |
Accepting new patients |
| Advanced Diagnostic Imaging PC | Current |
Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018
5651 Frist Blvd
Ste 200
Hermitage, TN 37076
Phone (615) 885-0200
2025 N Mount Juliet Rd
Ste 130
Mt Juliet, TN 37122
Phone (615) 855-0200
121 Bear Xing
Ste 300
Mt Juliet, TN 37122
Phone (615) 885-0200
545 N Mount Juliet Rd
Ste 1101
Mt Juliet, TN 37122
Phone (615) 553-4645
3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146
2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080
Interoperability endpoints
- kelsey.ferguson@ahp.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 7598 | TN | Yes |
Addresses
Primary practice location
2025 N Mount Juliet Rd Ste 130
Mt Juliet, TN 37122-3994
Mailing address
3024 Business Park Cir
Goodlettsville, TN 37072-3132
Other practice location 1
5651 Frist Blvd Ste 200
Hermitage, TN 37076-2056
Phone (615) 885-0200
Other providers in Mt Juliet, TN
- Katherine Farrell
- Fast Pace Medical Clinic PLLC
- Kimberly Ann Faulkner
- Feel to Heal Counseling PLLC
- Martha Felker
- Madison Ferry
- Maryam Adel Fikry
- Sarah Katherine Finch
- Brandi N Findley
- Courtney Finley
All providers in Mt Juliet, TN · Occupational Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.