Organization Active NPI

Patrice Peterson-Read

  • Physical Therapist
  • Atascadero, CA
National Provider Identifier
1023106119
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 8187 Issued in CA
Legal business name
PATRICE PETERSON-READ
Practice address
4885 El Camino Real
Atascadero, CA 93422-2759
Phone
(805) 466-8711
Fax
(805) 466-3677
NPI assigned
Oct 11, 2006
Last updated
Sep 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Authorized official

Name
Phyliss Torres-Smith
Title
Office Manager
Phone
(805) 466-8711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 8187 CA Primary

Addresses

Primary practice location

4885 El Camino Real
Atascadero, CA 93422-2759

Mailing address

4885 El Camino Real
Atascadero, CA 93422-2759
Phone (805) 466-8711

Other identifiers 1

IdentifierTypeStateIssuer
W18971OtherCAMEDICARE GROUP #

National Provider Directory

National Provider Directory

Locations

4885 El Camino Real
Atascadero, CA 93422
Phone (805) 466-8711

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1023106119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4885 EL CAMINO REAL",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934222759",
            "telephone_number": "805-466-8711",
            "fax_number": "805-466-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 EL CAMINO REAL",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934222759",
            "telephone_number": "805-466-8711",
            "fax_number": "805-466-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICE PETERSON-READ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "TORRES-SMITH",
        "authorized_official_first_name": "PHYLISS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "805-466-8711"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 8187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "W18971",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

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