Active NPI
Peter Reck, PT
- Physical Therapist
- Chino, CA
National Provider Identifier
1316179930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT14309
- Practice address
- 4216 Philadelphia St
Chino, CA 91710-2178 - Phone
- (909) 203-0955
- NPI assigned
- Aug 14, 2009
- Last updated
- Feb 18, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT14309 | CA | Primary |
Addresses
Primary practice location
4216 Philadelphia St
Chino, CA 91710-2178
Mailing address
4216 Philadelphia St
Chino, CA 91710-2178
Phone (909) 203-0955
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT14309 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297987200000",
"number": "1316179930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4216 PHILADELPHIA ST",
"city": "CHINO",
"state": "CA",
"postal_code": "917102178",
"telephone_number": "909-203-0955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4216 PHILADELPHIA ST",
"city": "CHINO",
"state": "CA",
"postal_code": "917102178",
"telephone_number": "909-203-0955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RECK",
"first_name": "PETER",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-14",
"last_updated": "2011-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT14309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chino, CA
- Sapna Rasania, M.D., M.P.H.
- Eric Rauda
- Melissa Ashley Rayner, MSW, LCSW
- RDM Forever, LLC (Above and Beyond Hospice Care)
- Real Health Acupuncture & Herbs
- Sudhir K Reddy, M.D.
- Bradlianne Reighter, LCSW
- Reminiscence Hospice Inc
- Renaissance Radiology Medical Group, Inc
- Renaissance Radiology Medical Group, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.