Active NPI
Peter Culp, PT, DPT
- Physical Therapist
- Prosser, WA
National Provider Identifier
1225663255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 61255206
- Practice address
- 723 Memorial St
Prosser, WA 99350-1524 - Phone
- (509) 786-2222
- NPI assigned
- Mar 10, 2020
- Last updated
- Dec 9, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-1940 | WY | |
| Physical Therapist | 225100000X | 61255206 | WA | Primary |
Addresses
Primary practice location
723 Memorial St
Prosser, WA 99350-1524
Mailing address
723 Memorial St
Prosser, WA 99350-1524
Phone (509) 630-3000
Other practice location 1
727 E Brundage Ln Ste L
Sheridan, WY 82801-6280
Phone (307) 683-0123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT-1940 | Other | WY | STATE ISSUED PHYSICAL THERAPY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61255206 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670544000000",
"number": "1225663255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "723 MEMORIAL ST",
"city": "PROSSER",
"state": "WA",
"postal_code": "993501524",
"telephone_number": "509-630-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 MEMORIAL ST",
"city": "PROSSER",
"state": "WA",
"postal_code": "993501524",
"telephone_number": "509-786-2222"
}
],
"practiceLocations": [
{
"address_1": "727 E Brundage Ln Ste L",
"address_purpose": "LOCATION",
"city": "Sheridan",
"state": "WY",
"postal_code": "828016280",
"country_code": "US",
"telephone_number": "307-683-0123",
"fax_number": "307-683-0101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CULP",
"first_name": "PETER",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-10",
"last_updated": "2022-12-09",
"certification_date": "2022-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "PT-1940",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "61255206",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE ISSUED PHYSICAL THERAPY LICENSE",
"identifier": "PT-1940",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Prosser, WA
- Copeland, Martin and Martin PLLC (Community Dental Care of Prosser)
- Douglas Ross Cozens, LMP
- Janice L Cozens, LMP
- Danielle Crawford, CPNP-PC, ARNP
- Tyler W Crawford, DC
- Nicole Deanne Denny, MA, CCC-SLP, L
- Fernando Dietsch Jr., M.D.
- Amy Rose Doherty
- Afton Royce Dunham, ARNP
- Kristin Eggleston, L.M., C.P.M.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.