Eric T. Petty, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT008348 Issued in GA

Practice address

6262 Veterans Pkwy
Columbus, GA 31909-3540

Phone

(706) 324-6661

Fax

(706) 327-6701

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Carolina Luna Care Physical Therapy LLCGroup PAC ID 8921418757, 66 clinicians

Duke University Health System, IncGroup PAC ID 2567372345, 1,083 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Duke University Health System, Inc.

  • Certified Registered Nurse Anesthetist
  • Durham, NC
  • NPI 1558392977

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• North Carolina Luna Care Physical Therapy LLC

  • Physical Therapist
  • Hendersonville, NC
  • NPI 1124626148
  Medicare reassignment Care Compare group NPD
• Prava PC

  • Physical Therapist
  • Chicago, IL
  • NPI 1841003753

  NC

  Medicare reassignment
• Duke University Health System, Inc.

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Durham, NC
  • NPI 1427187525
  NPD
• Broadway Chiropractic and Therapy Center Inc

  • Chiropractor
  • Cleveland, OH
  • NPI 1487773784
  NPD (past)
• Northwest Chiropractic and Therapy Center Inc

  • Chiropractor
  • Cleveland, OH
  • NPI 1295856995
  NPD (past)
• Southeast Chiropractic and Therapy Center Inc

  • Chiropractor
  • Warrensville Heights, OH
  • NPI 1295854669
  NPD (past)
• Southeast Lifeforce Corporation

  • Chiropractor
  • Cleveland, OH
  • NPI 1962795062
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326081449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9686 CHERRY TREE DR",
            "address_2": "APT 310",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441362775",
            "telephone_number": "215-287-9145",
            "fax_number": "215-287-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6262 VETERANS PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319093540",
            "telephone_number": "706-324-6661",
            "fax_number": "706-327-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTY",
        "first_name": "ERIC",
        "middle_name": "T.",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Curt Peterson, PH.D.
• Summer L Peterson, BCBA
• Allison Shanley Petrenchak
• Kelly Pettis
• Tyleasha S Pettway
• Jeremy Petty, FNP-C
• Deliana Peykova, MD
• Cynthia Pfeifler, RRT
• Shandis Denise Phaneuf, LPN
• Kiara Phelps, MD

• Physical Therapist in Columbus, GA
• Providers in Columbus, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.