Active NPI
Edgar Ferragut, LPTA
- Developmental Therapist
- Wilton, CT
National Provider Identifier
1912386756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- 2306602076
- Practice address
- 64 Danbury Rd
Ste 100
Wilton, CT 06897-4429 - Phone
- (800) 278-0332
- NPI assigned
- May 27, 2015
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 2306602076 | VA | Primary |
Addresses
Primary practice location
64 Danbury Rd
Ste 100
Wilton, CT 06897-4429
Mailing address
5507 New Colony Dr
Virginia Beach, VA 23464-4010
Phone (757) 318-8097
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2306602076 | Other | VA | VIRGINIA BOARD OF HEALTH PROFESSIONALS |
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 |
|---|---|---|---|
| 2306602076 | VA | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432684800000",
"number": "1912386756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5507 NEW COLONY DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234644010",
"telephone_number": "757-318-8097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 DANBURY RD",
"address_2": "STE 100",
"city": "WILTON",
"state": "CT",
"postal_code": "068974429",
"telephone_number": "800-278-0332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRAGUT",
"first_name": "EDGAR",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-27",
"last_updated": "2015-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "VA",
"license": "2306602076",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA BOARD OF HEALTH PROFESSIONALS",
"identifier": "2306602076",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.