Jacob Ferris, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT020072 Issued in OH

Practice address

277 Boardman Canfield Rd
Youngstown, OH 44512-4806

Phone

(330) 726-9671

NPI assigned

Aug 22, 2022

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

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Novacare Rehabilitation of Ohio IncGroup PAC ID 0345159315, 76 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Novacare Rehabilitation of Ohio, Inc.

  • Physical Therapy Clinic/Center
  • Alliance, OH
  • NPI 1952970824

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Novacare Rehabilitation of Ohio Inc

  • Physical Therapy Clinic/Center
  • Beechwood, OH
  • NPI 1740447895
  NPD (past)
• Keystone Rehabilitation Systems, Inc.

  • Physical Therapy Clinic/Center
  • Butler, PA
  • NPI 1336878941
  NPD (past)

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1760100184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 WOODVIEW AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445124646",
            "telephone_number": "330-314-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 BOARDMAN CANFIELD RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445124806",
            "telephone_number": "330-726-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRIS",
        "first_name": "JACOB",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT020072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nashawn Ramon Fernandez, QMHS
• Juliana Ferrel
• Jessica Ferrick
• Kelly Ferrick, SLP
• Quinlan Jonah Ferrier, LPC
• Kayla Ferry, CRNP
• Joel Evan Feuer, DDS
• Emily Fick, LPN
• Sidney Fields
• Fifth Avenue Otolaryngologists, Inc.

• Physical Therapist in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.