Jeremy Peters

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

032669 Issued in NY

Practice address

4901 Lac de Ville Blvd # D-110
Rochester, NY 14618-5647

Phone

(585) 341-9150

NPI assigned

Dec 6, 2010

Sex

Male

Sole proprietor

No

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": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1194028613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 LAC DE VILLE BLVD # D-110",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 LAC DE VILLE BLVD # D-110",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185647",
            "telephone_number": "585-341-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "JEREMY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NY",
            "license": "032669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy J. Peters, RN MS
• David Peters, M.D.
• Doreen Ann Peters, NP
• Elizabeth C Peters, N.P., R.N.
• Jeffrey Harold Peters
• Jonathan Peters, MD
• Michela C Peters, M.ED., CARC
• Shaun Daniel Peters, RN
• Kathleen L Peterson-Sweeney
• Carol Jeanne Peterson, M.S., C.G.C.

• Sports Physical Therapist in Rochester, NY
• Providers in Rochester, NY by specialty
• Sports Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.