Individual provider Active NPI

Charles Ferruzza

  • Physical Therapist
  • Rockville, MD
National Provider Identifier
1609275973
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27075 Issued in MD
Practice address
9707 Medical Center Dr Ste 300
Rockville, MD 20850
Phone
(301) 444-4090
Fax
(301) 444-4091
NPI assigned
Aug 22, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01847900 NJ
Physical Therapist 225100000X 037894-1 NY
Physical Therapist 225100000X 27075 MD Primary

Addresses

Primary practice location

9707 Medical Center Dr Ste 300
Rockville, MD 20850

Mailing address

214 Richard CT
Massapequa Park, NY 11762-3246

Other practice location 1

214 Richard Ct
Massapequa Park, NY 11762-3246
Phone (516) 314-0959

Other practice location 2

453 Amboy Ave
Woodbridge, NJ 07095-2960
Phone (732) 388-4184

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
27075MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthosc, LLC PastSince May 29, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1609275973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 RICHARD CT",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117623246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9707 MEDICAL CENTER DR STE 300",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20850",
            "telephone_number": "301-444-4090",
            "fax_number": "301-444-4091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 Richard Ct",
            "address_purpose": "LOCATION",
            "city": "Massapequa Park",
            "state": "NY",
            "postal_code": "117623246",
            "country_code": "US",
            "telephone_number": "516-314-0959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "453 Amboy Ave",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "NJ",
            "postal_code": "070952960",
            "country_code": "US",
            "telephone_number": "732-388-4184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRUZZA",
        "first_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-22",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01847900",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037894-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.