KEELY FORTENBERRY (NPI# 1336769306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336769306 |
| Entity Type | Individual |
| Full Name | KEELY FORTENBERRY |
| Practice Address |
1102 Rose St Prentiss MS 39474-5200 |
| Mailing Address |
711 Avignon Dr Ridgeland MS 39157-5120 |
| Practice Telephone | 6017921242 |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT3495 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1102 ROSE ST |
| City | PRENTISS |
| State | MS |
| Zip Code | 39474-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063620110 | Prentiss Regional Hospital and Ecf, Inc. | General Acute Care Hospital | 1102 Rose St, Prentiss, MS 39474 | 2007-05-21 |
| 1730452558 | Forrest County General Hospital | Anesthesiology | 1102 Rose St, Prentiss, MS 39474-5200 | 2012-02-10 |
| 1649558388 | Forrest County General Hospital | Medicare Defined Swing Bed Unit | 1102 Rose St, Prentiss, MS 39474-5200 | 2011-07-29 |
| 1003194747 | Forrest County General Hospital | Psychiatric Unit | 1102 Rose St, Prentiss, MS 39474-5200 | 2011-07-29 |
| 1518245307 | Forrest County General Hospital | Skilled Nursing Facility | 1102 Rose St, Prentiss, MS 39474-5200 | 2011-07-27 |
| 1295013316 | Forrest County General Hospital | General Acute Care Hospital | 1102 Rose St, Prentiss, MS 39474-5200 | 2011-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225520794 | Caring Hands Staffing,llc | In Home Supportive Care | 1802 Columbia Ave, Prentiss, MS 39474 | 2018-05-31 |
| 1891183208 | Katie Daley Rush | Nurse Practitioner | 1014 Rose St., Ste. A, Prentiss, MS 39474 | 2015-01-07 |
| 1841621885 | Living Hope; LLC | Assisted Living Facility | 1287 Fred Street, Prentiss, MS 39474 | 2013-12-02 |
| 1922317197 | Martha Ann Stringer | Pharmacist | 1635 Columbia Ave., Prentiss, MS 39474 | 2010-10-05 |
| 1427361666 | Caring Hands Personal Care LLC | Home Health | 1814 Columbia Ave. Ste. B, Prentiss, MS 39474 | 2010-07-16 |
| 1730308206 | James Russell Dumas Jr. | Dentist | 7115 Hwy 13, Prentiss, MS 39474 | 2007-04-24 |
| 1316076524 | Prentiss Regional Hospital and Ecf, Inc. | General Acute Care Hospital | 1102 Rose St., Prentiss, MS 39474 | 2007-03-05 |
| 1225167430 | Prentiss Regional Hospital and Ecf, Inc. | Skilled Nursing Facility | 1320 Winfield St., Prentiss, MS 39474 | 2007-03-05 |
| 1033292727 | Vonpatton's, LLC | Durable Medical Equipment & Medical Supplies | 2218 Columbia Ave, Prentiss, MS 39474 | 2006-10-24 |
| 1326149253 | Jaishankar Jagadeesan | Internal Medicine | 972 Columbia Ave, Prentiss, MS 39474 | 2006-09-25 |
| Find all providers in zip 39474 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548867088 | Julia Hovatter | Occupational Therapist | 4700 Hardy St Ste J1, Hattiesburg, MS 39402-1300 | 2020-10-07 |
| 1770197089 | Ashton Allard | Occupational Therapist | 4709 Highway 22, Flora, MS 39071-9512 | 2020-09-03 |
| 1194338079 | Lauren Elizabeth Laenen | Occupational Therapist | 147 S Brooks St, Pontotoc, MS 38863-2950 | 2020-08-28 |
| 1770196123 | Brooke Ann Thomas | Occupational Therapist | 627 Middleton Rd Ste 100, Winona, MS 38967-2000 | 2020-08-26 |
| 1619517869 | Cristen N Sudduth | Occupational Therapist | 374 Savanna St, Jackson, MS 39212-5257 | 2020-01-15 |
| 1659911246 | Madison Casey Hayes | Occupational Therapist | 5271 Getwell Rd # Suittea, Southaven, MS 38672-9608 | 2020-01-10 |
| 1497391106 | Takisha Kayon Stallings-richards | Occupational Therapist | 4744 We Ross Pkwy Apt 50-201, Southaven, MS 38671-7003 | 2019-11-18 |
| 1407490352 | Kelli Snider | Occupational Therapist | 402 Natchez Ave, Brookhaven, MS 39601-4058 | 2019-11-04 |
| 1871136663 | Holly Stidham Loper | Occupational Therapist | 600 Rollingwood Dr, Vicksburg, MS 39183-6930 | 2019-10-24 |
| 1972153039 | Marlee Taylor | Occupational Therapist | 503 Constitution Drive, Iuka, MS 38852-8201 | 2019-09-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.