Active NPI
Elizabeth Pearl, MPT
- Physical Therapist
- Plattsburgh, NY
National Provider Identifier
1396709044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 028419-1
- Practice address
- 70 Court St
Plattsburgh, NY 12901-2832 - Phone
- (518) 563-7777
- Fax
- (518) 563-7770
- NPI assigned
- Apr 12, 2006
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 028419-1 | NY | Primary |
| Cardiopulmonary Physical Therapist | 2251C2600X | 028419-1 | NY | |
| Geriatric Physical Therapist | 2251G0304X | 028419-1 | NY | |
| Neurology Physical Therapist | 2251N0400X | 028419-1 | NY | |
| Orthopedic Physical Therapist | 2251X0800X | 028419-1 | NY | |
| Sports Physical Therapist | 2251S0007X | 028419-1 | NY |
Addresses
Primary practice location
70 Court St
Plattsburgh, NY 12901-2832
Mailing address
70 Court St
Plattsburgh, NY 12901-2832
Phone (518) 563-7777
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, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
135 S Peru St
Plattsburgh, NY 12901-4706
Phone (518) 563-7777
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028419-1 | NY | MD | Cardiopulmonary Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pearl Physical Therapy, PC | Physical Therapist | Current | Accepting new patients |
| Gerald V Harrell OD PC Professional Corporation Nys | Past | Accepting new patients |
Locations
135 S Peru St
Plattsburgh, NY 12901
Phone (518) 561-1321
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.
-
- Physical Therapy Clinic/Center
- Plattsburgh, NY
- NPI 1669706750
Physical Therapist
-
- Optometrist
- Plattsburgh, NY
- NPI 1083782866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262390400000",
"number": "1396709044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 COURT ST",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129012832",
"telephone_number": "518-563-7777",
"fax_number": "518-563-7770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 COURT ST",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129012832",
"telephone_number": "518-563-7777",
"fax_number": "518-563-7770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARL",
"first_name": "ELIZABETH",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-12",
"last_updated": "2010-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "028419-1",
"primary": true
},
{
"code": "2251C2600X",
"taxonomy_group": "",
"desc": "Physical Therapist, Cardiopulmonary",
"state": "NY",
"license": "028419-1",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "NY",
"license": "028419-1",
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "NY",
"license": "028419-1",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "028419-1",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "NY",
"license": "028419-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plattsburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2010; 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.