Active NPI
Braeleen Ferriter
- Athletic Trainer
- Rochester, NY
National Provider Identifier
1326606773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 002625
- Practice address
- 3901 Lac de Ville Blvd
Rochester, NY 14618 - Phone
- (585) 490-4070
- NPI assigned
- May 31, 2019
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 002625 | NY | Primary |
Addresses
Primary practice location
3901 Lac de Ville Blvd
Rochester, NY 14618
Mailing address
1085 Wickerton LN
Webster, NY 14580-8541
Phone (585) 315-7945
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 |
|---|---|---|---|
| 002625 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1326606773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1085 WICKERTON LN",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145808541",
"telephone_number": "585-315-7945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 LAC DE VILLE BLVD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14618",
"telephone_number": "585-490-4070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRITER",
"first_name": "BRAELEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-31",
"last_updated": "2023-08-01",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "002625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.