Individual provider Active NPI

Peter Joseph Anello, PT

  • Pediatric Physical Therapist
  • Newburgh, NY
National Provider Identifier
1013963735
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
016320 Issued in NY
Practice address
28 Willets Way
Newburgh, NY 12550-8781
Phone
(845) 562-1054
Fax
(845) 562-6148
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 016320 NY Primary
Physical Therapist 225100000X 016320-1 NY

Addresses

Primary practice location

28 Willets Way
Newburgh, NY 12550-8781

Mailing address

28 Willets Way
Newburgh, NY 12550-8781
Phone (845) 562-1054

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
016320NYMDMental Health Counselor
016320-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peter J Anello PT PC Physical Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1013963735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 WILLETS WAY",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125508781",
            "telephone_number": "845-562-1054",
            "fax_number": "845-562-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 WILLETS WAY",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125508781",
            "telephone_number": "845-562-1054",
            "fax_number": "845-562-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANELLO",
        "first_name": "PETER",
        "middle_name": "JOSEPH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "016320",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "016320-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.