Erik Peterson Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0235331 Issued in NY

Legal business name

ERIK PETERSON PHYSICAL THERAPY PC

Practice address

100 Montauk Hwy
Amagansett, NY 11930-2835

Phone

(631) 324-3200

Fax

(631) 324-3676

NPI assigned

Oct 31, 2011

Organization subpart

No

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

Authorized official

Name

Erik Peterson, PTNPI 1558525311

Title

Owner

Phone

(631) 324-3200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

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

• Erik B Peterson, PT

  • Physical Therapist
  • Amagansett, NY
  • NPI 1558525311
  Medicare reassignment Care Compare group NPD Authorized official
• Brenden Lenahan, PT

  • Physical Therapist
  • Amagansett, NY
  • NPI 1710380480
  Medicare reassignment Care Compare group NPD
• John Jude Basti, PT

  • Physical Therapist
  • Edison, NJ
  • NPI 1205863438

  NY

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1164708590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2835",
            "city": "AMAGANSETT",
            "state": "NY",
            "postal_code": "119302835",
            "telephone_number": "631-324-3200",
            "fax_number": "631-324-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MONTAUK HWY",
            "city": "AMAGANSETT",
            "state": "NY",
            "postal_code": "119302835",
            "telephone_number": "631-324-3200",
            "fax_number": "631-324-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIK PETERSON PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-324-3200",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0235331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Marshall Physical Therapy Care
• Dawn Breitenbach, LCSW
• Shawn Patrick Cannon, DO
• Randi Beth Cherill, PT, ATC
• Eugene Mark Connolly, RPA-C
• Victoria Falcone
• Sandra Geehreng Foster, M.AC
• Alexandra Galdi, M.A. CCC-SLP
• Green Pastures Home Aide LLC
• Maizy Abigail Guyer, DPT

• Physical Therapist in Amagansett, NY
• Providers in Amagansett, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.