Provider Demographics
NPI:1073613584
Name:FERREIRA, ADRIAN (MS PT)
Entity Type:Individual
Prefix:MR
First Name:ADRIAN
Middle Name:
Last Name:FERREIRA
Suffix:
Gender:M
Credentials:MS PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 WASHINGTON AVE
Mailing Address - Street 2:PLEASANTVILLE PHYSICAL THERAPY & SPORTS CARE
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10570
Mailing Address - Country:US
Mailing Address - Phone:914-741-2767
Mailing Address - Fax:914-741-2776
Practice Address - Street 1:501 WASHINGTON AVE
Practice Address - Street 2:PLEASANTVILLE PHYSICAL THERAPY & SPORTS CARE
Practice Address - City:PLEASANTVILLE
Practice Address - State:NY
Practice Address - Zip Code:10570
Practice Address - Country:US
Practice Address - Phone:514-741-2767
Practice Address - Fax:914-741-2776
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2022-06-30
Deactivation Date:2022-04-15
Deactivation Code:
Reactivation Date:2022-06-30
Provider Licenses
StateLicense IDTaxonomies
NY026138225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q104AMedicare UPIN