Active NPI
Prudence Ann Ferraro, M.S.P.T.
- Physical Therapist
- New York, NY
National Provider Identifier
1063503506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 014777-1
- Practice address
- 625 Madison Ave FRNT 2
New York, NY 10022-1801 - Phone
- (121) 289-1216
- Fax
- (121) 275-0372
- NPI assigned
- Sep 28, 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 014777-1 | NY | Primary |
Addresses
Primary practice location
625 Madison Ave FRNT 2
New York, NY 10022-1801
Mailing address
110 Draper LN Apt 3KS
Dobbs Ferry, NY 10522-1154
Phone (191) 467-4454
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 |
|---|---|---|---|
| 014777-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063503506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 DRAPER LN APT 3KS",
"city": "DOBBS FERRY",
"state": "NY",
"postal_code": "105221154",
"telephone_number": "191-467-4454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 MADISON AVE FRNT 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100221801",
"telephone_number": "121-289-1216",
"fax_number": "121-275-0372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRARO",
"first_name": "PRUDENCE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "M.S.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "014777-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
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.