Terresa A Ferruccio, DOCTORATE OF PT

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

PT008742 Issued in GA

Practice address

2856 Sewell Mill Rd
Marietta, GA 30062-4720

Phone

(909) 496-9352

Fax

(770) 726-7546

NPI assigned

Aug 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1609989292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2856 SEWELL MILL RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624720",
            "telephone_number": "909-496-9352",
            "fax_number": "770-726-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2856 SEWELL MILL RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624720",
            "telephone_number": "909-496-9352",
            "fax_number": "770-726-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRUCCIO",
        "first_name": "TERRESA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DOCTORATE OF PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "GA",
            "license": "PT008742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "PT008742",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "1932",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "PT279940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fibia Simona Ferche, LPC
• Karen M Ferguson, PAC
• Nicole Ferguson
• Ryan Christopher Ferguson, DO
• Leah Marie Ferris-Yankus, PH.D.
• Michele M Fesler, MS, MT-BC
• Deanna M Fetsch, CPNP
• Julia Catharine Fey
• Leanne Susan Fey, LPC
• Sabrina Fiaz, LCSW

• Legal Medicine in Marietta, GA
• Providers in Marietta, GA by specialty
• Legal Medicine in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.