Active NPI
Peter Marchetti
- Physical Therapist
- Cambridge, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 508 Maryland Ave
Suite 2
Cambridge, MD 21613-1930 - Phone
- (410) 901-1100
- NPI assigned
- Aug 30, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
508 Maryland Ave
Suite 2
Cambridge, MD 21613-1930
Mailing address
29448 Hemlock LN
Easton, MD 21601-4885
Phone (410) 822-8193
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21012 | Other | MD | LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21012 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Holdings Inc | Current | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Current | Accepting new patients | |
| Select Medical of Maryland Inc | Physical Therapist | Past | Accepting new patients |
Locations
5A Mayo Rd
Edgewater, MD 21037
Phone (410) 934-3300
7101 Guilford Dr
Ste 202
Frederick, MD 21704
Phone (240) 549-5330
1305 S Salisbury Blvd
Ste 5
Salisbury, MD 21801
Phone (410) 901-1100
Organizations & group practices 3
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.
-
dba NovaCare Rehabilitation
- Rehabilitation Clinic/Center
- Bethesda, MD
- NPI 1861460917
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Ashland, VA
- NPI 1174591218
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- Cumberland, MD
- NPI 1275535940
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427168137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29448 HEMLOCK LN",
"city": "EASTON",
"state": "MD",
"postal_code": "216014885",
"telephone_number": "410-822-8193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 MARYLAND AVE",
"address_2": "SUITE 2",
"city": "CAMBRIDGE",
"state": "MD",
"postal_code": "216131930",
"telephone_number": "410-901-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCHETTI",
"first_name": "PETER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "21012",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MD
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.