Individual provider Active NPI

Kerri R Plankenhorn, OTR/L

  • Occupational Therapist
  • Knoxville, TN
National Provider Identifier
1811963531
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
679 Issued in AL
Practice address
10133 Sherrill Blvd
Suite 200
Knoxville, TN 37932-3347
Phone
(865) 392-2817
Fax
(855) 232-8604
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 679 AL Primary

Addresses

Primary practice location

10133 Sherrill Blvd
Suite 200
Knoxville, TN 37932-3347

Mailing address

121 Horseshoe BND S
Madison, AL 35758-7711
Phone (256) 653-9877

Other identifiers 1

IdentifierTypeStateIssuer
51528616OtherALBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Achievements, LLC Occupational Therapist CurrentSince Jul 1, 2016 Accepting new patients
Functional Pathways Preferred of Tennessee LLC Occupational Therapist CurrentSince Jul 1, 2016 Accepting new patients

Locations

3601 Cci Dr NW
Ste 270
Huntsville, AL 35805
Phone (256) 509-4398

3601 Cci Dr NW
#270
Huntsville, AL 35805
Phone (256) 509-4398

802 Shoney Dr SW
Ste C
Huntsville, AL 35801
Phone (256) 509-4398

10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2847

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1811963531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 HORSESHOE BND S",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357587711",
            "telephone_number": "256-653-9877",
            "fax_number": "855-232-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10133 SHERRILL BLVD",
            "address_2": "SUITE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323347",
            "telephone_number": "865-392-2817",
            "fax_number": "855-232-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLANKENHORN",
        "first_name": "KERRI",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51528616",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.