Individual provider Active NPI

Joseph C Peter, P.T.

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1053384768
Registry record updated Apr 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
023366 Issued in NY
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

Updated by the provider on Apr 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
023366NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.