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Deactivated NPI 1336430909 Deactivated / Inactive NPI Male Practitioner

Evan Ferguson , PTA

Specialist • Boxford, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Evan Ferguson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 29, 2011
NPI Deactivation Date September 12, 2017
Total Practice Duration ~6 Years of Practice (2011 – 2017)

Professional Overview & Biography Verified Profile Summary

Evan Ferguson, PTA was a registered Specialist practicing in Boxford, MA. Throughout an active medical career spanning 6 years, Evan Ferguson provided care at the practice location at 36 GUNNISON RD until profile deactivation on 2017-09-12.

Practice Location & Contact Primary Location

Practice Address

36 Gunnison Rd

Boxford, MA 01921

Telephone 9788570522

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Boxford, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 37.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Boxford, MA (1181 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MA 3768

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 12, 2017

Record deactivated on September 12, 2017

NPI Profile Active April 29, 2011

NPI status registered as active in NPPES database

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Updated Practice Location April 29, 2011

Registered at 36 GUNNISON RD, BOXFORD, MA 01921 (Tel: 9788570522)

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Updated Business Mailing Address April 29, 2011

Registered at 36 GUNNISON RD, BOXFORD, MA 01921 (Tel: 9788570522)

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Provider Name / Credentials Updated April 29, 2011

Recorded as EVAN FERGUSON, PTA

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2011

Specialist (License #3768 in MA)

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Initial NPI Registration & Enumeration April 29, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336430909
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 29, 2011
Last Update: April 29, 2011
Deactivation Date: September 12, 2017

Mailing Address

36 Gunnison Rd

Boxford, MA 01921

Phone: 9788570522

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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