Active NPI
Jennifer Ferguson Rhoads, MPT
- Physical Therapist
- Davis, CA
National Provider Identifier
1114211182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 37766
- Practice address
- 1340 Lake Blvd
Davis, CA 95616-5673 - Phone
- (530) 753-5338
- Fax
- (530) 753-4609
- NPI assigned
- Jun 7, 2011
- 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 | 37766 | CA | Primary |
Addresses
Primary practice location
1340 Lake Blvd
Davis, CA 95616-5673
Mailing address
PO Box 255228
Sacramento, CA 95865-5228
Phone (800) 470-0071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37766 | Other | CA | PHYSICAL THERAPY BOARD OF CALIFORNIA |
Other names 1
- Jennifer A. Ferguson
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terrapin Physical Therapy | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Monterey, CA
- NPI 1306033170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492646400000",
"number": "1114211182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 255228",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958655228",
"telephone_number": "800-470-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 LAKE BLVD",
"city": "DAVIS",
"state": "CA",
"postal_code": "956165673",
"telephone_number": "530-753-5338",
"fax_number": "530-753-4609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHOADS",
"first_name": "JENNIFER",
"middle_name": "FERGUSON",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-07",
"last_updated": "2017-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "37766",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
"identifier": "37766",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "FERGUSON",
"middle_name": "A.",
"credential": "MPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.