Jason G Ferrise, OT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

5201007793 Issued in MI

Practice address

Beaumont Health and Wellness Center
4949 Coolidge Highway
Royal Oak, MI 48073

Phone

(248) 655-5660

Fax

(248) 655-5662

NPI assigned

Jul 28, 2010

Last updated

Nov 26, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kaufman Children's Center

  • Behavior Analyst
  • West Bloomfield, MI
  • NPI 1366877318
  NPD (past)
• Kaufman Childrens Center for Speech Language Sensory Motor Soc Connect

  • Speech-Language Pathologist
  • West Bloomfield, MI
  • NPI 1801011812
  NPD (past)

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1679887087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 COOLIDGE HWY",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480731026",
            "telephone_number": "248-655-5660",
            "fax_number": "248-655-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BEAUMONT HEALTH AND WELLNESS CENTER",
            "address_2": "4949 COOLIDGE HIGHWAY",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "48073",
            "telephone_number": "248-655-5660",
            "fax_number": "248-655-5662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6625 Daly Rd",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483223410",
            "country_code": "US",
            "telephone_number": "248-737-3430",
            "fax_number": "248-737-3433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRISE",
        "first_name": "JASON",
        "middle_name": "G",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-28",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": "5201007793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jining Feng, MD PHD
• Nicole Marie Ferlito, PA-C
• Kathleen Carol Fernandez, LLPC
• Lorena Gisele Ferreira Gomes, MD
• Julie Ann Ferris, M.D.
• Trisha Fick, RPH
• David Fickett, P.A.
• Mariah Hope Fielder, PT
• Sonia Karadjoff Fields, RPH
• Warren Bradley Fields, M.D.

• Pediatric Occupational Therapist in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Pediatric Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.