Individual provider Active NPI

Edgar Ferragut, LPTA

  • Developmental Therapist
  • Wilton, CT
National Provider Identifier
1912386756
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
License
2306602076 Issued in VA
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

Updated by the provider on May 27, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2306602076OtherVAVIRGINIA 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

LicenseStateTypeSpecialty
2306602076VAMDDevelopmental 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.

Verify at the official NPI Registry.