Theresa Pedroso, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

003621-1 Issued in NY

Practice address

257 Pollard Hill Rd
Johnson City, NY 13790-4206

Phone

(607) 862-3379

NPI assigned

Feb 5, 2009

Last updated

Feb 5, 2009By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beth Parks Physical Therapy Services, PC

  • Home Health Agency
  • Johnson City, NY
  • NPI 1093977118
  NPD (past)
• Beth Parks Therapy Services

  • Home Health Agency
  • Johnson City, NY
  • NPI 1174872840
  NPD (past)

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233792000000",
    "number": "1407095920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 POLLARD HILL RD",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137904206",
            "telephone_number": "607-862-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 POLLARD HILL RD",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137904206",
            "telephone_number": "607-862-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDROSO",
        "first_name": "THERESA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "003621-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Runak Patel, M.D.
• Sagarkumar Patel, NP
• Robert A Patterson, MD
• Gregory Todd Peake, PT
• Pediatric and Adolescent Health
• Abbey C Pelot, LMSW
• Annamalai Periakaruppan, MD
• Madison Shea Perrault, OTR/L
• Camryn Perri
• Laurie Ann Pescatore, PT

• Physical Therapy Assistant in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.