Peak Physical Therapy ,West

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

012916-1 Issued in NY

Legal business name

PEAK PHYSICAL THERAPY ,WEST

Practice address

726 E Main St
Suite 101
Middletown, NY 10940-2653

Phone

(845) 344-0168

Fax

(845) 341-0472

NPI assigned

Sep 6, 2006

Organization subpart

No

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

Authorized official

Name

Patrick Rossillo, P.T., CHTNPI 1285703066

Title

Director

Phone

(845) 344-0168

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick J. Rossillo, P.T.

  • Physical Therapist
  • Winter Park, FL
  • NPI 1285703066
  NPD (past) Authorized official
• Joanne M Dooher, PT

  • Physical Therapist
  • Great Neck, NY
  • NPI 1306166814
  NPD (past)
• Matthew Mikesh, P.T.

  • Physical Therapist
  • Newburgh, NY
  • NPI 1548339229
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134222003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 E MAIN ST",
            "address_2": "SUITE 101",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402653",
            "telephone_number": "845-344-0168",
            "fax_number": "845-341-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 E MAIN ST",
            "address_2": "SUITE 101",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402653",
            "telephone_number": "845-344-0168",
            "fax_number": "845-341-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PHYSICAL THERAPY ,WEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSSILLO",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "845-344-0168",
        "authorized_official_credential": "P.T., CHT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "012916-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01572430",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia E. Miller Inc.
• Paul Duggal P.C.
• Bryanna Paul
• Karen Esther Paul, P. A.
• Briana Lisa Pavia, LMHC
• Tara Elizabeth Pearlman, M.S.CCC-SLP, TSHH
• Katherine Pedro
• Edward Georgilio Peguero, CASAC
• Brittney Peiffer, LMHC
• Jennifer L Pellicci

• Physical Therapy Clinic/Center in Middletown, NY
• Providers in Middletown, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.