Individual provider Active NPI

Peter Marchetti

  • Physical Therapist
  • Cambridge, MD
National Provider Identifier
1427168137
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
508 Maryland Ave
Suite 2
Cambridge, MD 21613-1930
Phone
(410) 901-1100
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
21012OtherMDLICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191118000619 MD Practitioner - Physical Therapist in Private Practice 1951547546 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21012MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings Inc CurrentSince Oct 28, 2019 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Oct 28, 2019 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.

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.

Verify at the official NPI Registry.