Active NPI
Laura G Kersey, OT/ PT
- Occupational Therapist
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT0000004593
- Practice address
- 9430 Park West Blvd Ste 230
Knoxville, TN 37923-4204 - Phone
- (865) 560-8550
- Fax
- (865) 560-8551
- NPI assigned
- May 27, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT0000009424 | TN | |
| Occupational Therapist | 225X00000X | OT0000004593 | TN | Primary |
Addresses
Primary practice location
9430 Park West Blvd Ste 230
Knoxville, TN 37923-4204
Mailing address
PO Box 32569
Knoxville, TN 37930-2569
Phone (865) 694-0062
Other practice location 1
576 Ft Loudoun Med Ctr Dr Ste 100A
Lenoir City, TN 37772-5676
Phone (865) 988-8796
Other practice location 2
961 Oak Ridge Tpke
Oak Ridge, TN 37830-8832
Phone (865) 483-1906
Other practice location 3
988 Oak Ridge Tpke Ste 100A
Oak Ridge, TN 37830-6919
Phone (865) 425-4388
Other practice location 4
1819 W Clinch Ave Ste 106
Knoxville, TN 37916-2435
Phone (865) 633-0259
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4593 | TN | MD | Pediatrics Physician |
| PT0000009424 | TN | MD | Physical Therapist |
| OT0000004593 | TN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Orthopaedic Clinics PC | Physical Therapist | Past | Accepting new patients |
| Tennessee Orthopaedic Alliance PA | Past | Accepting new patients |
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.
-
dba Tennessee Orthopaedic Alliance
- Orthopaedic Surgery Physician
- Smyrna, TN
- NPI 1205820610
-
- Physical Therapy Clinic/Center
- Oak Ridge, TN
- NPI 1780706853
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523491200000",
"number": "1902218811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32569",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379302569",
"telephone_number": "865-694-0062",
"fax_number": "865-692-2352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9430 PARK WEST BLVD STE 230",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234204",
"telephone_number": "865-560-8550",
"fax_number": "865-560-8551"
}
],
"practiceLocations": [
{
"address_1": "576 Ft Loudoun Med Ctr Dr Ste 100A",
"address_purpose": "LOCATION",
"city": "Lenoir City",
"state": "TN",
"postal_code": "377725676",
"country_code": "US",
"telephone_number": "865-988-8796",
"fax_number": "865-988-8798",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "961 Oak Ridge Tpke",
"address_purpose": "LOCATION",
"city": "Oak Ridge",
"state": "TN",
"postal_code": "378308832",
"country_code": "US",
"telephone_number": "865-483-1906",
"fax_number": "865-483-3807",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "988 Oak Ridge Tpke Ste 100A",
"address_purpose": "LOCATION",
"city": "Oak Ridge",
"state": "TN",
"postal_code": "378306919",
"country_code": "US",
"telephone_number": "865-425-4388",
"fax_number": "865-425-4677",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1819 W Clinch Ave Ste 106",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379162435",
"country_code": "US",
"telephone_number": "865-633-0259",
"fax_number": "865-524-5047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KERSEY",
"first_name": "LAURA",
"middle_name": "G",
"credential": "OT/ PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-27",
"last_updated": "2018-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "PT0000009424",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "OT0000004593",
"primary": true
}
],
"identifiers": [],
"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 Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.