Individual provider Active NPI

Peter Charles Torcivia, DPT

  • Physical Therapist
  • Annandale, NJ
National Provider Identifier
1134436611
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01358900 Issued in NJ
Practice address
1465 State Hwy 31
Third Floor
Annandale, NJ 08801
Phone
(908) 328-3300
Fax
(908) 328-3268
NPI assigned
Sep 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 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 40QA01358900 NJ Primary

Addresses

Primary practice location

1465 State Hwy 31
Third Floor
Annandale, NJ 08801

Mailing address

1465 State Hwy 31
Third Floor
Annandale, NJ 08801
Phone (908) 328-3300

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40QA01358900NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Flannery Physical Therapy Limited Partnership 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": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1134436611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 STATE HWY 31",
            "address_2": "THIRD FLOOR",
            "city": "ANNANDALE",
            "state": "NJ",
            "postal_code": "08801",
            "telephone_number": "908-328-3300",
            "fax_number": "908-328-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 STATE HWY 31",
            "address_2": "THIRD FLOOR",
            "city": "ANNANDALE",
            "state": "NJ",
            "postal_code": "08801",
            "telephone_number": "908-328-3300",
            "fax_number": "908-328-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORCIVIA",
        "first_name": "PETER",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01358900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.