Kendra Ferguson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

093385 Issued in IA

Practice address

842 NE Alices Rd
Waukee, IA 50263-8857

Phone

(515) 875-9610

NPI assigned

Jul 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The Iowa Clinic PC

  • Family Medicine Physician
  • West Des Moines, IA
  • NPI 1346233178
  NPD
• The Iowa Clinic, PC

  • Durable Medical Equipment & Medical Supplies
  • West Des Moines, IA
  • NPI 1871451328
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1487225546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 NE ALICES RD",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638857",
            "telephone_number": "515-875-9706",
            "fax_number": "515-875-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 NE ALICES RD",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638857",
            "telephone_number": "515-875-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "KENDRA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IA",
            "license": "093385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fambul Care LLC
• Familya, LLC
• Ikra Farah
• Stephanie Anne Fardal
• Joseph S Ferezy, D.C.
• Jessica Marie Finken, NP-C
• Jennifer Fisher, M.S.
• Brandon Flores, DC
• Focus Eye Care PC
• Fortitude & Freedom, PLC

• Physical Therapy Assistant in Waukee, IA
• Providers in Waukee, IA by specialty
• Physical Therapy Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.