Individual provider Active NPI

Brian J. Ferreira, MSPT

  • Physical Therapist
  • Enfield, CT
National Provider Identifier
1548386261
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8477 Issued in CT
Practice address
3 Weymouth Rd
Enfield, CT 06082-6006
Phone
(860) 745-2408
Fax
(860) 379-7945
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 17519 MA
Physical Therapist 225100000X 8477 CT Primary

Addresses

Primary practice location

3 Weymouth Rd
Enfield, CT 06082-6006

Mailing address

10 Bigelow Ave
Enfield, CT 06082-2805
Phone (413) 563-7780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120709000580 CT Practitioner - Physical Therapist in Private Practice 1052576477 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17519MAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtrax Physical Therapy, PLLC Physical Therapist CurrentSince Apr 12, 2019 Accepting new patients
Connecticut Physical Therapy Specialists LLC Physical Therapist CurrentSince Jun 11, 2018 Accepting new patients

Locations

622 Hebron Ave
Ste 200
Glastonbury, CT 06033
Phone (860) 589-2645

11 Mill Pond Dr
Granby, CT 06035
Phone (860) 413-9969

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1548386261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BIGELOW AVE",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060822805",
            "telephone_number": "413-563-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WEYMOUTH RD",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060826006",
            "telephone_number": "860-745-2408",
            "fax_number": "860-379-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERREIRA",
        "first_name": "BRIAN",
        "middle_name": "J.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17519",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "8477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.