Anna C. Peavler, PT DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4549 Issued in NM

Practice address

1 University Blvd.
St. Augustine, FL 32086

Phone

(904) 829-3411

Fax

(904) 829-3411

NPI assigned

Jun 4, 2013

Last updated

Mar 31, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Anna C. Sidd Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1235576950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY BLVD.",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "32086",
            "telephone_number": "904-829-3411",
            "fax_number": "340-715-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY BLVD.",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "32086",
            "telephone_number": "904-829-3411",
            "fax_number": "904-829-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAVLER",
        "first_name": "ANNA",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "4549",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "31954",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "SIDD",
            "middle_name": "C.",
            "prefix": "MS.",
            "credential": "PT DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bonnie S Peacock, BA
• Beth S Pearce, DPM
• Pearl of the Sea Retreat, LLC (Pearl of the Sea Retreat)
• Scott M. Pearl, O.D.
• Pearle Vision Inc (Pearle Vision #C6397)
• Cathy Eileen Peck
• Pediatrics of St. Augustine
• Pediatrix Medical Group of Florida, Inc
• Peglar LLC
• Janice Pehr

• Physical Therapist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.