Active NPI
Mackenzie Coleman Pelphrey
- Occupational Therapist
- Russell Springs, KY
National Provider Identifier
1477343465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 299321
- Practice address
- 2465 Lakeway Dr
Russell Springs, KY 42642-4510 - Phone
- (606) 677-1166
- NPI assigned
- May 12, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 299321 | KY | Primary |
Addresses
Primary practice location
2465 Lakeway Dr
Russell Springs, KY 42642-4510
Mailing address
303 Second St
Somerset, KY 42501-2390
Other practice location 1
303 Second St
Somerset, KY 42501-2390
Phone (606) 677-1166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
194 Fairway LN
Apt a
Somerset, KY 42503-3461
303 2ND St
Somerseet, KY 42501
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 299321 | KY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brighter Futures Therapy Center, LLC | Current | Accepting new patients |
Locations
303 Second St
Somerset, KY 42501
Phone (606) 451-9672
Organizations & group practices 1
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.
-
- Case Manager/Care Coordinator
- Somerset, KY
- NPI 1598186868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747008000000",
"number": "1477343465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 SECOND ST",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425012390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2465 LAKEWAY DR",
"city": "RUSSELL SPRINGS",
"state": "KY",
"postal_code": "426424510",
"telephone_number": "606-677-1166"
}
],
"practiceLocations": [
{
"address_1": "303 Second St",
"address_purpose": "LOCATION",
"city": "Somerset",
"state": "KY",
"postal_code": "425012390",
"country_code": "US",
"telephone_number": "606-677-1166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PELPHREY",
"first_name": "MACKENZIE",
"middle_name": "COLEMAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-12",
"last_updated": "2025-05-12",
"certification_date": "2025-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "299321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Russell Springs, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.