Individual provider Active NPI

Elizabeth Pearl, MPT

  • Physical Therapist
  • Plattsburgh, NY
National Provider Identifier
1396709044
Registry record updated Jan 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
028419-1 Issued in NY
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

Updated by the provider on Jan 2, 2010

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20091123000052 NY Practitioner - Physical Therapist in Private Practice 2961478219 Reassigns benefits to 1 organization

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
Pearl Physical Therapy, PCGroup PAC ID 7719029958, 4 clinicians

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

LicenseStateTypeSpecialty
028419-1NYMDCardiopulmonary Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pearl Physical Therapy, PC Physical Therapist CurrentSince Dec 1, 2009 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.

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.

Verify at the official NPI Registry.