Michael Fred Peretti, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1754 Issued in OH

Practice address

7000 South Ave
Suite 7
Boardman, OH 44512-3644

Phone

(330) 629-8834

Fax

(330) 629-9362

NPI assigned

Aug 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Michael Fred Peretti Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Physical Therapy and Occupational Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • East Liverpool, OH
  • NPI 1265521025
  NPD (past)
• Rinaldi Physical Therapy

  • Orthopedic Physical Therapist
  • Boardman, OH
  • NPI 1346250453
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1497765747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 SOUTH AVE",
            "address_2": "SUITE 7",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445123644",
            "telephone_number": "330-629-8834",
            "fax_number": "330-629-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SOUTH AVE",
            "address_2": "SUITE 7",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445123644",
            "telephone_number": "330-629-8834",
            "fax_number": "330-629-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERETTI",
        "first_name": "MICHAEL",
        "middle_name": "FRED",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0926289",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "PERETTI",
            "middle_name": "FRED",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brendan Charles Paull, DO
• Pearl Physical Therapy LLC
• Jodi Lynn Pegg, CRNP
• Jasen M Pekalla
• Doreen Lee Peloza, RPH
• Trent A. Perkins, DO
• Robert D Perrott, DMD
• Sandra E Perrotta, MSED, LPCC
• Wardah Pervez
• Laura Marie Pesci, D.O.

• All providers in Boardman, OH
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.

Verify at the official NPI Registry.