Peak Physical Therapy South PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0133321 Issued in NY

Legal business name

PEAK PHYSICAL THERAPY SOUTH PLLC

Practice address

84 East Main Street
Washingtonville, NY 12586

Phone

(845) 496-1616

Fax

(845) 496-1674

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Charles L Walker, MS PTNPI 1760555312

Title

Director Physical Therapist

Phone

(845) 496-1616

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Leslie Walker, PT

  • Physical Therapist
  • Newburgh, NY
  • NPI 1760555312
  NPD Authorized official

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376615724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 EAST MAIN STREET",
            "city": "WASHINGTONVILLE",
            "state": "NY",
            "postal_code": "12586",
            "telephone_number": "845-496-1616",
            "fax_number": "845-496-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 EAST MAIN STREET",
            "city": "WASHINGTONVILLE",
            "state": "NY",
            "postal_code": "12586",
            "telephone_number": "845-496-1616",
            "fax_number": "845-496-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PHYSICAL THERAPY SOUTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "845-496-1616",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0133321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Q08K31",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1193077",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10034454",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "42898",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP GR#",
            "identifier": "K095",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "44709625",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY",
            "identifier": "1000017827",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIS",
            "identifier": "20547P",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON HMO",
            "identifier": "5299092",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ocasio Physical Therapy PLLC
• Natalie Nilda Ocasio, PT, DPT
• Orange Ambulate LLC
• Donna Ordonez-Jenkins
• Christine Oriani, LCSW
• Nicholas Pedersen, FNP-C
• Nicole Elise Perri, M.S.SPED
• Courtnie Ariane Phillips
• Susan M. Picone, MS, CCC, SLP
• Crystal Plucker

• Physical Therapist in Washingtonville, NY
• Providers in Washingtonville, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.