Active NPI
Maura Ferdinand, P.T.A.
- Physical Therapy Assistant
- Hudson, OH
National Provider Identifier
1255754453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA 2104
- Practice address
- 5625 Hudson Dr
Hudson, OH 44236-4433 - Phone
- (330) 655-8070
- Fax
- (330) 655-8079
- NPI assigned
- Jan 24, 2014
- 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 Therapy Assistant | 225200000X | PTA 2104 | OH | Primary |
Addresses
Primary practice location
5625 Hudson Dr
Hudson, OH 44236-4433
Mailing address
525 E Market St
Akron, OH 44304-1619
Phone (330) 655-8070
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 |
|---|---|---|---|
| PTA 2104 | OH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390521600000",
"number": "1255754453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 E MARKET ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443041619",
"telephone_number": "330-655-8070",
"fax_number": "330-655-8079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5625 HUDSON DR",
"city": "HUDSON",
"state": "OH",
"postal_code": "442364433",
"telephone_number": "330-655-8070",
"fax_number": "330-655-8079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERDINAND",
"first_name": "MAURA",
"credential": "P.T.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-24",
"last_updated": "2014-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "PTA 2104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hudson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.