Active NPI
Peter Ferris
- Prosthetist
- Fort Myers, FL
National Provider Identifier
1417406067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- PRO258
- Practice address
- 7051 Cypress Ter
Ste 108
Fort Myers, FL 33907-8822 - Phone
- (239) 437-4010
- NPI assigned
- Sep 23, 2016
- Last updated
- Sep 23, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | PRO258 | FL | |
| Prosthetist | 224P00000X | PRO258 | FL | Primary |
Addresses
Primary practice location
7051 Cypress Ter
Ste 108
Fort Myers, FL 33907-8822
Mailing address
7051 Cypress Ter Ste 108
Fort Myers, FL 33907-8801
Phone (239) 321-0392
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 |
|---|---|---|---|
| PRO258 | FL | MD | Orthotist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amputee Clinic, Inc. | Prosthetist | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/12285/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474588800000",
"number": "1417406067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7051 CYPRESS TER STE 108",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339078801",
"telephone_number": "239-321-0392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7051 CYPRESS TER",
"address_2": "STE 108",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339078822",
"telephone_number": "239-437-4010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRIS",
"first_name": "PETER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-23",
"last_updated": "2016-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "FL",
"license": "PRO258",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "FL",
"license": "PRO258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.