Active NPI
Edmundo J Ferreira
- Occupational Therapy Assistant
- Fall River, MA
National Provider Identifier
1376847491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 3250
- Practice address
- 4901 N Main St
Fall River, MA 02720-2080 - Phone
- (508) 675-1001
- NPI assigned
- Jan 4, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 3250 | MA | Primary |
Addresses
Primary practice location
4901 N Main St
Fall River, MA 02720-2080
Mailing address
4901 N Main St
Fall River, MA 02720-2080
Phone (508) 675-1001
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 |
|---|---|---|---|
| 3250 | MA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294099200000",
"number": "1376847491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 N MAIN ST",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027202080",
"telephone_number": "508-675-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 N MAIN ST",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027202080",
"telephone_number": "508-675-1001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERREIRA",
"first_name": "EDMUNDO",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-04",
"last_updated": "2011-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MA",
"license": "3250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.