Active NPI
Gretchen V. Ferguson, PT, MPH
- Physical Therapist
- Waltham, MA
National Provider Identifier
1184747735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17175
- Practice address
- 9 Hope Ave
Waltham, MA 02453-2741 - Phone
- (781) 893-0897
- Fax
- (781) 893-5846
- NPI assigned
- Apr 9, 2007
- 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 | 17175 | MA | Primary |
Addresses
Primary practice location
9 Hope Ave
Waltham, MA 02453-2741
Mailing address
221 Massachusetts Ave
Apt 804
Boston, MA 02115-3504
Phone (617) 670-2815
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 |
|---|---|---|---|
| 17175 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184747735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 MASSACHUSETTS AVE",
"address_2": "APT 804",
"city": "BOSTON",
"state": "MA",
"postal_code": "021153504",
"telephone_number": "617-670-2815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 HOPE AVE",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024532741",
"telephone_number": "781-893-0897",
"fax_number": "781-893-5846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "GRETCHEN",
"middle_name": "V.",
"name_prefix": "Mrs.",
"credential": "PT, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "17175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
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.