Active NPI
Kathryn Delaughter, OTR/L
- Occupational Therapist
- Cordova, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5696
- Practice address
- 36 Bazeberry Rd
Cordova, TN 38018-7754 - Phone
- (901) 758-0036
- NPI assigned
- Jul 12, 2017
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5696 | TN | Primary |
Addresses
Primary practice location
36 Bazeberry Rd
Cordova, TN 38018-7754
Mailing address
1803 Adair Bridge CV
Germantown, TN 38138-3107
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | NA | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220803002630 | TN | Practitioner - Occupational Therapist in Private Practice | 5294117511 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aegis Group Practice LLCHealthpro Heritage Rehab and Fitness LLC
Practice addresses (Care Compare)
601 Wolf River Blvd
Collierville, TN 38017-6600
Phone (901) 883-0348
6605 N Quail Hollow Rd
Memphis, TN 38120-1323
Phone (901) 613-4064
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | Current | Accepting new patients |
| Aegis Group Practice LLC | Occupational Therapist | Current | Accepting new patients |
| Aegis Group Practice LLC | Occupational Therapist | Current | Accepting new patients |
| Ave Maria Home | Current | Accepting new patients | |
| Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | Current | Accepting new patients |
| Aegis Group Practice LLC | Occupational Therapist | Current | Accepting new patients |
Locations
4933 Old Greenwood Rd
Fort Smith, AR 72903
3345 Kirby Whitten Rd
Bartlett, TN 38134
Phone (901) 245-4395
2805 Charles Bryan Rd
Bartlett, TN 38134
Phone (901) 386-3211
960 S Seivers Blvd
Clinton, TN 37716
Phone (865) 270-3178
Organizations & group practices 51
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.
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- Physical Therapist
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- NPI 1083227169
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- NPI 1093389751
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1457873408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1803 ADAIR BRIDGE CV",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381383107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 BAZEBERRY RD",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380187754",
"telephone_number": "901-758-0036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELAUGHTER",
"first_name": "KATHRYN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-12",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "5696",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "NA",
"affiliation": "N",
"endpointDescription": "NA",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "NA",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "36 Bazeberry Rd",
"city": "Cordova",
"state": "TN",
"country_code": "US",
"postal_code": "380187754",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.