Active NPI
Bret Ferrell, PT
- Physical Therapist
- Beverly, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16355
- Practice address
- 254 Essex St
Beverly, MA 01915-1944 - Phone
- (978) 338-5688
- Fax
- (978) 338-5685
- NPI assigned
- Jul 14, 2006
- Last updated
- Aug 27, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16355 | MA | Primary |
Addresses
Primary practice location
254 Essex St
Beverly, MA 01915-1944
Mailing address
1 Credit Union Way FL 3
Randolph, MA 02368-4633
Phone (781) 961-3370
Other practice location 1
133 Highland Ave
Salem, MA 01970-2774
Phone (978) 741-0666
Other practice location 2
281 Main St
Reading, MA 01867-3603
Phone (781) 205-2130
Other practice location 3
173 Essex St Fl 1
Swampscott, MA 01907-1150
Phone (781) 586-0550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110025162A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
254 Essex St
Beverly, MA 01915-1944
Phone (978) 338-5688
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16355 | MA | MD | Physical Therapist |
Organizations & group practices 1
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.
-
dba Bay State Physical Therapy
- Physical Therapist
- Fall River, MA
- NPI 1164474334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566864000000",
"number": "1780600734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CREDIT UNION WAY FL 3",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023684633",
"telephone_number": "781-961-3370",
"fax_number": "781-961-1291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 ESSEX ST",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019151944",
"telephone_number": "978-338-5688",
"fax_number": "978-338-5685"
}
],
"practiceLocations": [
{
"address_1": "133 Highland Ave",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "MA",
"postal_code": "019702774",
"country_code": "US",
"telephone_number": "978-741-0666",
"fax_number": "978-745-2706",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "281 Main St",
"address_purpose": "LOCATION",
"city": "Reading",
"state": "MA",
"postal_code": "018673603",
"country_code": "US",
"telephone_number": "781-205-2130",
"fax_number": "781-205-2129",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "173 Essex St Fl 1",
"address_purpose": "LOCATION",
"city": "Swampscott",
"state": "MA",
"postal_code": "019071150",
"country_code": "US",
"telephone_number": "781-586-0550",
"fax_number": "781-586-0125",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERRELL",
"first_name": "BRET",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2019-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "16355",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110025162A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.