Individual provider Active NPI

Rick K Peaslee, P.T.

  • Physical Therapist
  • Canfield, OH
National Provider Identifier
1477556090
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT.004871 Issued in OH
Practice address
6470 Tippecanoe Rd
Canfield, OH 44406-7036
Phone
(330) 758-0577
Fax
(330) 758-0466
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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 PT.004871 OH Primary

Addresses

Primary practice location

6470 Tippecanoe Rd
Canfield, OH 44406-7036

Mailing address

6470 Tippecanoe Rd
Canfield, OH 44406-7036
Phone (330) 758-0577

Other identifiers 2

IdentifierTypeStateIssuer
AT-001999OtherOHATHLETIC TRAINER
341972661OtherOHTAX ID

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
PT.004871OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Youngstown Orthopaedic Associates LTD PastSince Feb 20, 2018 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467936000000",
    "number": "1477556090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6470 TIPPECANOE RD",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444067036",
            "telephone_number": "330-758-0577",
            "fax_number": "330-758-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6470 TIPPECANOE RD",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444067036",
            "telephone_number": "330-758-0577",
            "fax_number": "330-758-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEASLEE",
        "first_name": "RICK",
        "middle_name": "K",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2016-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.004871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINER",
            "identifier": "AT-001999",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "341972661",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; 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.