Active NPI
Brianna Peters, PT, DPT
- Physical Therapist
- Ithaca, NY
National Provider Identifier
1396167227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 037091
- Practice address
- 2359 N Triphammer Rd
Ithaca, NY 14850-1059 - Phone
- (607) 257-5009
- NPI assigned
- Jan 12, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 037091 | NY | Primary |
Addresses
Primary practice location
2359 N Triphammer Rd
Ithaca, NY 14850-1059
Mailing address
3 Michelle CT
Queensbury, NY 12804-8830
Phone (518) 260-2132
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 271852471 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
720 Willow Ave
Ithaca, NY 14850-3215
Phone (607) 219-4600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients |
Locations
130 Center Way
Corning, NY 14830
Phone (607) 936-9971
3344 Chambers Rd
Horseheads, NY 14845
Phone (607) 734-2264
720 Willow Ave
Ithaca, NY 14850
Phone (570) 887-3025
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.
-
- Multi-Specialty Clinic/Center
- Corning, NY
- NPI 1134178635
-
- General Practice Physician
- Sayre, PA
- NPI 1245246644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389484800000",
"number": "1396167227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 MICHELLE CT",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "128048830",
"telephone_number": "518-260-2132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2359 N TRIPHAMMER RD",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501059",
"telephone_number": "607-257-5009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "BRIANNA",
"name_prefix": "Miss",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-12",
"last_updated": "2014-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "037091",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "271852471",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2014; 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.