Active NPI
Martha Ferguson, OTA/L
- Occupational Therapy Assistant
- Tujunga, CA
National Provider Identifier
1700277654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA 639
- Practice address
- 7660 Wyngate St
Tujunga, CA 91042-1736 - Phone
- (818) 352-1454
- NPI assigned
- Feb 13, 2015
- Last updated
- Feb 13, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA 639 | CA | Primary |
Addresses
Primary practice location
7660 Wyngate St
Tujunga, CA 91042-1736
Mailing address
8968 Dorrington Ave
Arleta, CA 91331-6122
Phone (818) 489-5229
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1054840 | Other | NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY | |
| OTA 639 | Other | CA | STATE LICENSURE |
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 |
|---|---|---|---|
| OTA 639 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423785600000",
"number": "1700277654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8968 DORRINGTON AVE",
"city": "ARLETA",
"state": "CA",
"postal_code": "913316122",
"telephone_number": "818-489-5229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7660 WYNGATE ST",
"city": "TUJUNGA",
"state": "CA",
"postal_code": "910421736",
"telephone_number": "818-352-1454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "MARTHA",
"name_prefix": "Ms.",
"credential": "OTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-13",
"last_updated": "2015-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "OTA 639",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY",
"identifier": "1054840",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSURE",
"identifier": "OTA 639",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tujunga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.