Individual provider Active NPI

Marcia H Ferry

  • Massage Therapist
  • Brunswick, GA
National Provider Identifier
1154404473
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 32343 Issued in FL
Practice address
3224 Wisteria Ave
Brunswick, GA 31520-4331
Phone
(912) 267-3639
Fax
(912) 267-9900
NPI assigned
Oct 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA 32343 FL Primary

Addresses

Primary practice location

3224 Wisteria Ave
Brunswick, GA 31520-4331

Mailing address

4420 Altama Ave
Suite 40
Brunswick, GA 31520-3020
Phone (912) 996-1737

Other identifiers 1

IdentifierTypeStateIssuer
MA 32343OtherFLMASSAGE THERAPY

Other names 1

  • Marcia H Ferry Professional name

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

LicenseStateTypeSpecialty
MA 32343FLMDMassage Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154404473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 ALTAMA AVE",
            "address_2": "SUITE 40",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315203020",
            "telephone_number": "912-996-1737",
            "fax_number": "912-267-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 WISTERIA AVE",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204331",
            "telephone_number": "912-267-3639",
            "fax_number": "912-267-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRY",
        "first_name": "MARCIA",
        "middle_name": "H",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 32343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY",
            "identifier": "MA 32343",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCIA",
            "last_name": "FERRY",
            "middle_name": "H",
            "credential": "LMT, NCMMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brunswick, GA

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.

Verify at the official NPI Registry.