Individual provider Active NPI

Pamela J Peet, PT

  • Physical Therapist
  • Hawley, PA
National Provider Identifier
1275643926
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010878L Issued in PA
Practice address
641 Route 739
Ste 3
Hawley, PA 18428-6087
Phone
(570) 775-5050
Fax
(570) 775-5075
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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 PT010878L PA Primary

Addresses

Primary practice location

641 Route 739
Ste 3
Hawley, PA 18428-6087

Mailing address

66 S Courtland St
Ste 101
East Stroudsburg, PA 18301-2827
Phone (570) 686-4300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070113000014 PA Practitioner - Physical Therapist in Private Practice 1355341496 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maximum Solutions,Inc Physical Therapist CurrentSince Oct 1, 2020 Accepting new patients
Pivot Physical Therapy of Pennsylvania, LLC Physical Therapist PastSince Jun 1, 2017 Accepting new patients

Locations

641 Route 739
Ste 3
Hawley, PA 18428
Phone (570) 757-5050

658 Route 739
Ste 5
Lords Valley, PA 18428
Phone (570) 775-5050

Organizations & group practices 2

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1275643926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 S COURTLAND ST",
            "address_2": "STE 101",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183012827",
            "telephone_number": "570-686-4300",
            "fax_number": "570-686-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 ROUTE 739",
            "address_2": "STE 3",
            "city": "HAWLEY",
            "state": "PA",
            "postal_code": "184286087",
            "telephone_number": "570-775-5050",
            "fax_number": "570-775-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEET",
        "first_name": "PAMELA",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT010878L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.