Active NPI
Amy Cathleen Ferguson, MOT, OTR/L
- Occupational Therapist
- Poteau, OK
National Provider Identifier
1417358987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR2724
- Practice address
- 2300 N Broadway St
Poteau, OK 74953 - Phone
- (918) 962-0198
- Fax
- (844) 632-7298
- NPI assigned
- Sep 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1904 | OK | |
| Occupational Therapist | 225X00000X | OTR2724 | AR | Primary |
Addresses
Primary practice location
2300 N Broadway St
Poteau, OK 74953
Mailing address
41116 E County Road 1240
Keota, OK 74941-6451
Phone (918) 697-2909
Other practice location 1
404 SW 2nd St
Checotah, OK 74426-4604
Phone (918) 926-3774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200554810A | Medicaid | OK |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTR2724 | AR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prosperity Therapy Services Inc | Occupational Therapist | Current | Accepting new patients |
| Ramsey Speech Pathology, LLC | Past | Accepting new patients | |
| Kerry McClure, LLC | Past | Accepting new patients |
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.
-
- Occupational Therapist
- Keota, OK
- NPI 1073093712
-
- Pediatric Occupational Therapist
- Poteau, OK
- NPI 1154732915
-
- Speech-Language Pathologist
- Muldrow, OK
- NPI 1245522390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534809600000",
"number": "1417358987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41116 E COUNTY ROAD 1240",
"city": "KEOTA",
"state": "OK",
"postal_code": "749416451",
"telephone_number": "918-697-2909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 N BROADWAY ST",
"city": "POTEAU",
"state": "OK",
"postal_code": "74953",
"telephone_number": "918-962-0198",
"fax_number": "844-632-7298"
}
],
"practiceLocations": [
{
"address_1": "404 SW 2nd St",
"address_purpose": "LOCATION",
"city": "Checotah",
"state": "OK",
"postal_code": "744264604",
"country_code": "US",
"telephone_number": "918-926-3774",
"fax_number": "866-244-5192",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERGUSON",
"first_name": "AMY",
"middle_name": "CATHLEEN",
"name_prefix": "Ms.",
"credential": "MOT, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-15",
"last_updated": "2018-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OK",
"license": "1904",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR2724",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200554810A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poteau, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.