Individual provider Active NPI

Ann Marie Chan Pelayre, PT

  • Physical Therapist
  • Massapequa, NY
National Provider Identifier
1437126711
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
023634 Issued in NY
Practice address
4200 Sunrise Hwy
Massapequa, NY 11758-5303
Phone
(516) 541-1064
NPI assigned
Mar 4, 2006
Last updated
May 21, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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 023634 NY Primary

Addresses

Primary practice location

4200 Sunrise Hwy
Massapequa, NY 11758-5303

Mailing address

357 Lincoln St
Franklin Square, NY 11010-2148
Phone (516) 270-3514

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
023634NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
All People's Diagnostic Medical Care, P.C. Past Accepting new patients
Maspeth Roura Medical Care PC Past Accepting new patients
Suresh Joshi Physician P.C. Past Accepting new patients

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": "1141430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1437126711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 LINCOLN ST",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110102148",
            "telephone_number": "516-270-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 SUNRISE HWY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585303",
            "telephone_number": "516-541-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELAYRE",
        "first_name": "ANN MARIE",
        "middle_name": "CHAN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-04",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.