Nancy Ann Peshke, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

13904 Issued in FL

Practice address

545 Sarina Ter SW
Vero Beach, FL 32968-4042

Phone

(772) 794-0176

Fax

(772) 794-1621

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184758294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 SARINA TER SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329684042",
            "telephone_number": "772-794-0176",
            "fax_number": "772-794-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 SARINA TER SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329684042",
            "telephone_number": "772-794-0176",
            "fax_number": "772-794-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESHKE",
        "first_name": "NANCY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "13904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Willis Perkins
• Susan Nathanson Perkins, D.C.
• Sharon Perry, OTR/L
• Stephanie Perry
• Theodore G Perry, MD
• Peter a Gold Psy D P a
• Peter G Wernicki M D P a
• Arley A. Peter, M.D.
• John Peter Petersen, M.D.
• Julia Peterson, M.S., CFY-SLP

• Physical Therapy Assistant in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.