Active NPI
Debra Fay Peel, PT
- Physical Therapist
- Milaca, MN
National Provider Identifier
1407933229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4538
- Practice address
- 150 10TH St NW
Milaca, MN 56353-1737 - Phone
- (320) 983-7480
- NPI assigned
- Nov 1, 2006
- Last updated
- Jul 8, 2007
- 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 | 4538 | MN | Primary |
Addresses
Primary practice location
150 10TH St NW
Milaca, MN 56353-1737
Mailing address
10495 105TH Ave
Milaca, MN 56353-4102
Phone (320) 369-3075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4538 | MN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407933229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10495 105TH AVE",
"city": "MILACA",
"state": "MN",
"postal_code": "563534102",
"telephone_number": "320-369-3075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 10TH ST NW",
"city": "MILACA",
"state": "MN",
"postal_code": "563531737",
"telephone_number": "320-983-7480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEEL",
"first_name": "DEBRA",
"middle_name": "FAY",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "4538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milaca, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.