Kelly Jay Ferris, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3641 Issued in TN

Practice address

1015 Campbell Way
Seymour, TN 37865-6615

Phone

(865) 573-5557

Fax

(865) 522-3218

NPI assigned

May 19, 2006

Last updated

Feb 8, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Therapy Plus

  • Physical Therapy Clinic/Center
  • Seymour, TN
  • NPI 1003014598
  Authorized official Same address or phone
• Therapy Plus LLC

  • Physical Therapy Clinic/Center
  • Knoxville, TN
  • NPI 1033737689
  NPD (past)
• Total Rehab

  • Physical Therapy Clinic/Center
  • Knoxville, TN
  • NPI 1275691487
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1609820471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 CAMPBELL WAY",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378656615",
            "telephone_number": "865-573-5557",
            "fax_number": "865-522-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 CAMPBELL WAY",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378656615",
            "telephone_number": "865-573-5557",
            "fax_number": "865-522-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRIS",
        "first_name": "KELLY",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "3641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PHYSICAL THERAPY",
            "identifier": "3105588",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3651332",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED PHYSICAL THERAPY",
            "identifier": "3651332",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED PHYSICAL THERAPY GROUP",
            "identifier": "3651552",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "650016650",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ewing Jackson Threet, II, DMD, MSD, PLLC (E Jackson Threet, DMD, MSD ENDODONTIST)
• Matthew Sean Ezelle, MSN, FNP-BC PMHNP-BC
• Family Dentistry of Seymour
• Maggie Corrine Farley, FNP
• Dennis Lee Farmer
• Maryann Fields, HIS
• Travis McKinney Fox, BA
• Melinda Anne Franklin
• Alicia Gandee, PHARMD
• Morgan Paige Gardner, COTA/L

• Physical Therapist in Seymour, TN
• Providers in Seymour, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.