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

Mackenzie Coleman Pelphrey

Individual provider Occupational Therapist · NPI 1477343465

Mackenzie Coleman Pelphrey is an Occupational Therapist in Private Practice in Russell Springs, Kentucky. Qualified in 2025, 1 year ago. Practices as a sole proprietor and works from 2 locations. Licensed in Kentucky.

Years since qualifying
1
Licensed in
KY
In the registry since
2025

Practice location Address checks out

2465 Lakeway Dr
Russell Springs, KY 42642-4510
Phone: (606) 677-1166
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 303 Second St, Somerset, KY 42501-2390 — (606) 677-1166

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 299321 (KY)

Record details

NPI number1477343465
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 12, 2025
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare