Active NPI
Carrie L Ferguson, O.T.
- Occupational Therapist
- Vinton, VA
National Provider Identifier
1013076595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119000646
- Practice address
- 204 S Maple St
Vinton, VA 24179-2522 - Phone
- (540) 266-6950
- Fax
- (540) 343-3982
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119000646 | VA | Primary |
Addresses
Primary practice location
204 S Maple St
Vinton, VA 24179-2522
Mailing address
5278 Glenvar Heights Blvd
Salem, VA 24153-5859
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119000646 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013076595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5278 GLENVAR HEIGHTS BLVD",
"city": "SALEM",
"state": "VA",
"postal_code": "241535859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 S MAPLE ST",
"city": "VINTON",
"state": "VA",
"postal_code": "241792522",
"telephone_number": "540-266-6950",
"fax_number": "540-343-3982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "CARRIE",
"middle_name": "L",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119000646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vinton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.