Active NPI
Amanda Sue Ferguson, MSPT
- Physical Therapist
- East Liverpool, OH
National Provider Identifier
1417372822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- OH10247
- Practice address
- 425 W Fifth St
East Liverpool, OH 43920-2405 - Phone
- (330) 386-2054
- Fax
- (330) 386-2679
- NPI assigned
- Feb 21, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | OH10247 | OH | Primary |
Addresses
Primary practice location
425 W Fifth St
East Liverpool, OH 43920-2405
Mailing address
1330 10TH Street Ext
Wellsville, OH 43968-9628
Phone (330) 383-5357
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 |
|---|---|---|---|
| OH10247 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497916800000",
"number": "1417372822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 10TH STREET EXT",
"city": "WELLSVILLE",
"state": "OH",
"postal_code": "439689628",
"telephone_number": "330-383-5357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 W FIFTH ST",
"city": "EAST LIVERPOOL",
"state": "OH",
"postal_code": "439202405",
"telephone_number": "330-386-2054",
"fax_number": "330-386-2679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "AMANDA",
"middle_name": "SUE",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-21",
"last_updated": "2017-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "OH10247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Liverpool, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.