Ferguson Occupational Therapy LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

FERGUSON OCCUPATIONAL THERAPY LLC

Practice address

836 E Wallen Rd
Fort Wayne, IN 46825-2836

Phone

(260) 479-0952

NPI assigned

May 6, 2024

Organization subpart

No

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

Authorized official

Name

Jennifer Ferguson, MOT, OTR/L, CAPSNPI 1295298982

Title

Ceo

Phone

(260) 479-0952

Specialties & licenses 1

Addresses

Other names 1

• Ferguson Occupational Therapy Other name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Ferguson, MOT, OTR/L

  • Occupational Therapist
  • Fort Wayne, IN
  • NPI 1295298982
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1689421653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 E WALLEN RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252836",
            "telephone_number": "260-479-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 E WALLEN RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252836",
            "telephone_number": "260-479-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERGUSON OCCUPATIONAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "260-479-0952",
        "authorized_official_credential": "MOT, OTR/L, CAPS"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ferguson Occupational Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kathryn A Felts, N.P.
• Femme Med & Spa
• Jeffrey Fender, LMSW
• Elizabeth Fenimore, LCSW
• Danita Fennesse
• A. Michelle Ferguson, PA-C
• Alex Ferguson, RBT
• Brittney Ferguson
• Catrina Ferguson
• Emily Kate Ferguson

• Occupational Therapist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.