Individual provider Active NPI

Peter A Viteritti, M.S., D.C.

  • Sports Physician Chiropractor
  • Bedford, NH
National Provider Identifier
1235148446
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
854 Issued in MA
Practice address
82 Palomino LN Ste 501
Bedford, NH 03110-6448
Phone
(603) 627-6381
Fax
(603) 627-6021
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 854 MA Primary

Addresses

Primary practice location

82 Palomino LN Ste 501
Bedford, NH 03110-6448

Mailing address

82 Palomino Lane
Suite 501
Bedford, NH 03110-6448
Phone (603) 627-6381

Other practice location 1

245 1st St
Suite 1800
Cambridge, MA 02142-1200
Phone (617) 444-8621

Other identifiers 4

IdentifierTypeStateIssuer
AA47502OtherMAHARVARD PILGRIM
Y39817OtherMABLUE CROSS BLUE SHIELD
7710611OtherAETNA
1238904OtherUNITED HEALTHCARE

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Northboro Chiropractic Center Past Accepting new patients
Khalsa Chiropractic Office P.C. PastSince Jan 1, 2008 Accepting new patients
Sports Group Physical Therapy Past Accepting new patients

Organizations & group practices 3

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235148446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 PALOMINO LANE",
            "address_2": "SUITE 501",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106448",
            "telephone_number": "603-627-6381",
            "fax_number": "603-627-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 PALOMINO LN STE 501",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106448",
            "telephone_number": "603-627-6381",
            "fax_number": "603-627-6021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 1st St",
            "address_2": "Suite 1800",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021421200",
            "country_code": "US",
            "telephone_number": "617-444-8621",
            "fax_number": "617-444-8627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VITERITTI",
        "first_name": "PETER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.S., D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MA",
            "license": "854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA47502",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y39817",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7710611",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1238904",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.