| Michelle Ferguson, OTR | |
|
465 N Perry St, Johnstown, NY 12095-1014 | |
| (518) 736-3930 | |
| Not Available |
| Full Name | Michelle Ferguson |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 465 N Perry St, Johnstown, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306000187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 006110-1 (New York) | Primary |
| Provider Name | State Of New York Comptrollers Office |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1750469912 PECOS PAC ID: 0840101770 Enrollment ID: O20190313000800 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Ferguson, OTR 465 N Perry St, Johnstown, NY 12095-1014 Ph: (518) 736-3930 | Michelle Ferguson, OTR 465 N Perry St, Johnstown, NY 12095-1014 Ph: (518) 736-3930 |
Teresa Marie Varano, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2-8 W Main St, Johnstown, NY 12095 Phone: 518-848-0861 | |
Ms. Madeline Grace Braunius, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2755 State Highway 67, Johnstown, NY 12095 Phone: 518-736-4681 | |
Mrs. Kristen Anuszewski, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2-8 W Main St, Johnstown, NY 12095 Phone: 518-762-8215 | |
Paul Kakaty, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2-8 W Main St, Johnstown, NY 12095 Phone: 518-762-8215 | |
Mr. John David Lott, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2755 State Highway 67, Johnstown, NY 12095 Phone: 518-736-4350 | |
Kaytlin Marie Lysogorski, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 W Main St, Johnstown, NY 12095 Phone: 518-762-8215 |