Peak Physical Therapy Pine Bush PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

021677 Issued in NY

Legal business name

PEAK PHYSICAL THERAPY PINE BUSH PLLC

Practice address

127 Route 302
Pine Bush, NY 12566

Phone

(845) 744-3669

Fax

(845) 744-6735

NPI assigned

Sep 22, 2006

Last updated

Nov 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brian Christopher Farrell, PTNPI 1740359033

Title

Physical Therapist

Phone

(845) 744-3669

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Peak Physical Therapy Pine Bush Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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.

• Brian Christopher Farrell, P.T.

  • Physical Therapist
  • Pine Bush, NY
  • NPI 1740359033
  Medicare reassignment NPD Authorized official
• Jack Carleton, MD

  • Internal Medicine Physician
  • Newburgh, NY
  • NPI 1811980873
  NPD
• Daniel J. Fishman, P.T., DPT, CHT

  • Physical Therapist
  • Newburgh, NY
  • NPI 1295804045
  NPD

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1144329194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 ROUTE 302",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "12566",
            "telephone_number": "845-744-3669",
            "fax_number": "845-744-6735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 ROUTE 302",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "12566",
            "telephone_number": "845-744-3669",
            "fax_number": "845-744-6735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PHYSICAL THERAPY PINE BUSH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "845-744-3669",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "021677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01572430",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Physical Therapy Pine Bush",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Peak Physical Therapy Pine Bush",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer Helen Ostrow, MSW
• Over the Moon Enrichment Agency
• Julie A. Pagan, OD
• Richard H Pagan, OD
• Joleen Gail Parr I
• Wladys Emmanuel Perez
• Pine Bush Area Ambulance Corps Inc
• Pine Bush Central School District
• Pine Bush Dental Group
• Pine Bush Optometric PC (Pine Bush Eye Associates)

• Clinic/Center in Pine Bush, NY
• Providers in Pine Bush, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.