Individual provider Active NPI

Joel Azariah Ferebee

  • Physical Rehabilitation Occupational Therapist
  • Washington, DC
National Provider Identifier
1710475371
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
OT100000168 Issued in DC
Practice address
3050 Military Rd NW
Washington, DC 20015-1341
Phone
(443) 239-0689
NPI assigned
Apr 28, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 05212 MD
Physical Rehabilitation Occupational Therapist 225XP0019X U1-0001511 DE
Physical Rehabilitation Occupational Therapist 225XP0019X OT100000168 DC Primary

Addresses

Primary practice location

3050 Military Rd NW
Washington, DC 20015-1341

Mailing address

1212 Painted Fern Rd
Denton, MD 21629-3043
Phone (443) 239-0689

Other identifiers 1

IdentifierTypeStateIssuer
45--0207291OtherDEOCCUPATIONAL THERAPY

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

LicenseStateTypeSpecialty
05212MDMDSocial Worker
OT100000168DCMDPhysical Rehabilitation Occupational Therapist
U1-0001511DEMDPhysical Rehabilitation Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1524873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1710475371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 PAINTED FERN RD",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216293043",
            "telephone_number": "443-239-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 MILITARY RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200151341",
            "telephone_number": "443-239-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEREBEE",
        "first_name": "JOEL",
        "middle_name": "AZARIAH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-28",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "05212",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "DE",
            "license": "U1-0001511",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "DC",
            "license": "OT100000168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY",
            "identifier": "45--0207291",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.