Individual provider Active NPI

Peter Schultz, M.S.P.T.

  • Physical Therapist
  • New York, NY
National Provider Identifier
1245328137
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
020808 Issued in NY
Practice address
6 E 39TH St
Suite 504
New York, NY 10016-0112
Phone
(212) 317-8303
Fax
(212) 317-8258
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 020808 NY Primary

Addresses

Primary practice location

6 E 39TH St
Suite 504
New York, NY 10016-0112

Mailing address

6 E 39TH St
Suite 504
New York, NY 10016-0112
Phone (212) 317-8303

Other identifiers 2

IdentifierTypeStateIssuer
Q34Z41OtherNYBLUE CROSS BLUE SHIELD
1194993519OtherNYGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060330000613 NY Practitioner - Physical Therapist in Private Practice 3971569559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diamond and Schultz Physical Therapy PCGroup PAC ID 0941499586, 2 clinicians

Practice addresses (Care Compare)

8 W 36TH St
FL 5
New York, NY 10018-9776
Phone (212) 317-8303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
020808NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Diamond & Schultz Physical Therapy PC Physical Therapist CurrentSince Dec 11, 2018 Accepting new patients

Locations

6 E 39th St
Ste 504
New York, NY 10016
Phone (212) 317-8303

8 W 36th St
Fl 5
New York, NY 10018
Phone (212) 317-8303

Organizations & group practices 1

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1245328137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 E 39TH ST",
            "address_2": "SUITE 504",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160112",
            "telephone_number": "212-317-8303",
            "fax_number": "212-317-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 E 39TH ST",
            "address_2": "SUITE 504",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160112",
            "telephone_number": "212-317-8303",
            "fax_number": "212-317-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "PETER",
        "credential": "M.S.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Q34Z41",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1194993519",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.