Individual provider Active NPI

Peter P Figueroa, MSPT

  • Physical Therapist
  • Wantagh, NY
National Provider Identifier
1295001006
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
018582 Issued in NY
Practice address
1769 Hannington Ave
Wantagh, NY 11793-2813
Phone
(516) 987-7182
NPI assigned
Mar 26, 2012
Last updated
Mar 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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 018582 NY Primary

Addresses

Primary practice location

1769 Hannington Ave
Wantagh, NY 11793-2813

Mailing address

1769 Hannington Ave
Wantagh, NY 11793-2813
Phone (516) 987-7182

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120531000106 NY Practitioner - Physical Therapist in Private Practice 2668634734 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Performance Physical Therapy PCGroup PAC ID 2567501604, 3 clinicians

Practice addresses (Care Compare)

1325 Franklin Ave
Suite Ll105
Garden City, NY 11530-1688
Phone (516) 280-8811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Performance Physical Therapy PC CurrentSince Apr 6, 2021 Accepting new patients
Liht Occupational Therapy PC CurrentSince Apr 6, 2021 Accepting new patients

Locations

1325 Franklin Ave
Ste LL105
Garden City, NY 11530
Phone (516) 280-8811

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332720000000",
    "number": "1295001006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1769 HANNINGTON AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932813",
            "telephone_number": "516-987-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1769 HANNINGTON AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932813",
            "telephone_number": "516-987-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIGUEROA",
        "first_name": "PETER",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; 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.