Active NPI
Joseph C Peter, P.T.
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1053384768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 023366
- Practice address
- 525 Neptune Ave
Lobby
Brooklyn, NY 11224-4063 - Phone
- (718) 513-0295
- Fax
- (718) 513-0296
- NPI assigned
- Feb 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 023366 | NY | Primary |
Addresses
Primary practice location
525 Neptune Ave
Lobby
Brooklyn, NY 11224-4063
Mailing address
2560 Cedar St
East Meadow, NY 11554-2112
Phone (516) 731-4505
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
| License | State | Type | Specialty |
|---|---|---|---|
| 023366 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespire, Inc. | Past | Accepting new patients | |
| Empress Ambulance Service LLC | Past | Accepting new patients | |
| Lifespire, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Ambulance
- Yonkers, NY
- NPI 1003878596
-
- Voluntary or Charitable Agency
- Hollis, NY
- NPI 1164629788
-
- Clinic/Center
- New York, NY
- NPI 1497709166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271635200000",
"number": "1053384768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2560 CEDAR ST",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115542112",
"telephone_number": "516-731-4505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 NEPTUNE AVE",
"address_2": "LOBBY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112244063",
"telephone_number": "718-513-0295",
"fax_number": "718-513-0296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETER",
"first_name": "JOSEPH",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-12",
"last_updated": "2010-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "023366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.