Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kiera Petersen, OTR/L

Individual provider Occupational Therapist · NPI 1982449245

Kiera Petersen, OTR/L is an Occupational Therapist in Private Practice in Memphis, Tennessee. Qualified in 2023, 3 years ago. Practices with Aegis Group Practice LLC, a 406-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
3
Licensed in
TN
In the registry since
2024
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

1345 Island Town Dr
Memphis, TN 38103-9027
Phone: (801) 759-4821
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 7879 (TN)

Record details

NPI number1982449245
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedJune 28, 2024
Last updated in NPPESJune 28, 2024
Certification dateJune 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Aegis Group Practice Llc — 406 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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