Ronald David Peacock Jr., PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-30215 Issued in AZ

Practice address

580 N Camino Mercado # 26
Casa Grande, AZ 85122-5757

Phone

(855) 331-7522

NPI assigned

Sep 13, 2018

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 AZ

Enrollment records 1

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.

• Harvest Physical Therapy, LLC

  • Physical Therapist
  • Casa Grande, AZ
  • NPI 1295959674
  Medicare reassignment NPD
• Imove Health LLC

  • Orthopedic Physical Therapist
  • Chandler, AZ
  • NPI 1578164505
  NPD Authorized official
• Arizona Luna Care Physical Therapy, LLC

  • Physical Therapist
  • Peoria, AZ
  • NPI 1629698147
  Medicare reassignment
• The Pelvic Docs, LLC

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1669157525
  NPD

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1396228441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 N CAMINO MERCADO STE 26",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 N CAMINO MERCADO # 26",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225757",
            "telephone_number": "855-331-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACOCK",
        "first_name": "RONALD",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-30215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Walter Patterson, D.D.S.
• Paul T Wilson OD PC
• Christopher Pavero, PHARMD
• PC Pain Doctors, PLLC
• Peace Homes LLC
• Kiana Peck, ATC
• Pediatric Dentistry of Casa Grande
• Jessica Pelland
• Jo Ann Pelzer, RN
• Merissa Perea, PHARMD

• Physical Therapist in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.