Peter W McCann, P.T.
Individual provider Active NPI Physical Therapist · Gualala, CA
NPI 1215004288 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1215004288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 00PT6431 (CA)
- Practice address
- 39120 Cypress Way
Gualala, CA 95445-8310 - Phone
- (707) 884-4800
- Fax
- (707) 884-4808
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00PT6431 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lucinda Weaver Physical Therapy | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 00PT6431 | CA | Yes |
Addresses
Primary practice location
39120 Cypress Way
Gualala, CA 95445-8310
Mailing address
39120 Cypress Way
Gualala, CA 95445-8310
Phone (707) 884-4800
Other providers in Gualala, CA
- Lisa Heying Kritz
- Shaye Larie
- Lisa Kritz Physical Therapy Inc.
- Lucinda Weaver Physical Therapy
- Jessica B Maness
- Mendonoma Health Alliance
- Richard T Miner
- Elizabeth J Nagle
- Robert Arnold Nelson
- Northern California Medical Assoc Inc
All providers in Gualala, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.