Individual provider Active NPI

Andrea Peiffer

  • Pediatric Occupational Therapist
  • Plymouth Meeting, PA
National Provider Identifier
1184082521
Registry record updated Jan 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
5201008383 Issued in MI
Practice address
5215 Militia Hill Rd
Plymouth Meeting, PA 19462-1276
Phone
(484) 342-2000
NPI assigned
Jan 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 5201008383 MI Primary

Addresses

Primary practice location

5215 Militia Hill Rd
Plymouth Meeting, PA 19462-1276

Mailing address

5215 Militia Hill Rd
Plymouth Meeting, PA 19462-1276
Phone (484) 342-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211108000556 MI Practitioner - Occupational Therapist in Private Practice 8628467925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northville Physical Rehabilitation PCGroup PAC ID 5193611101, 13 clinicians

Practice addresses (Care Compare)

215 E Main St
Suite B
Northville, MI 48167-1681
Phone (248) 349-9339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201008383MIMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northville Physical Rehabilitation, P.C. CurrentSince Nov 1, 2021 Accepting new patients

Locations

215 E Main St
Ste B
Northville, MI 48167
Phone (248) 349-9339

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": "1454198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454198400000",
    "number": "1184082521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 MILITIA HILL RD",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621276",
            "telephone_number": "484-342-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 MILITIA HILL RD",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621276",
            "telephone_number": "484-342-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEIFFER",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-31",
        "last_updated": "2016-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": "5201008383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.