Active NPI
Joel Azariah Ferebee
- Physical Rehabilitation Occupational Therapist
- Washington, DC
National Provider Identifier
1710475371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- OT100000168
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45--0207291 | Other | DE | OCCUPATIONAL 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
| License | State | Type | Specialty |
|---|---|---|---|
| 05212 | MD | MD | Social Worker |
| OT100000168 | DC | MD | Physical Rehabilitation Occupational Therapist |
| U1-0001511 | DE | MD | Physical 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.