Active NPI
Colin Ferguson
- Physical Therapy Assistant
- Bertram, TX
National Provider Identifier
1821655713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2138881
- Practice address
- 2224 Whitewater Dr
Bertram, TX 78605-4173 - Phone
- (512) 680-4320
- NPI assigned
- May 25, 2019
- Last updated
- May 25, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2138881 | TX | Primary |
Addresses
Primary practice location
2224 Whitewater Dr
Bertram, TX 78605-4173
Mailing address
2224 Whitewater Dr
Bertram, TX 78605-4173
Phone (512) 680-4320
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 |
|---|---|---|---|
| 2138881 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558742400000",
"number": "1821655713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2224 WHITEWATER DR",
"city": "BERTRAM",
"state": "TX",
"postal_code": "786054173",
"telephone_number": "512-680-4320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2224 WHITEWATER DR",
"city": "BERTRAM",
"state": "TX",
"postal_code": "786054173",
"telephone_number": "512-680-4320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "COLIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-25",
"last_updated": "2019-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2138881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bertram, TX
- Dungarvin Texas, LLC (Bertram Community Residence)
- Dungarvin Texas, LLC (Woodview Community Residence)
- Dungarvin Texas, LLC (Bluebonnet Community Residence)
- Elite LTC Properties of Bertram LLC (Bertram Nursing adn Rehab Center)
- Erin Hope Ellett, LPC
- Laura Fucik
- Jennifer Boehm Gattuso
- Tamera Ann Gibson
- Heidi Lynn Hall, COTA
- Hamilton County Hospital District (Bertram Nursing & Rehabilitation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.