Individual provider Active NPI

Erik B Peterson, PT

  • Physical Therapist
  • Amagansett, NY
National Provider Identifier
1558525311
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
023533-1 Issued in NY
Practice address
100 Montauk Hwy
Amagansett, NY 11930-2835
Phone
(631) 324-3200
Fax
(631) 324-3676
NPI assigned
Jul 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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 023533-1 NY Primary

Addresses

Primary practice location

100 Montauk Hwy
Amagansett, NY 11930-2835

Mailing address

PO Box 2835
Amagansett, NY 11930-2835
Phone (631) 324-3200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031117000427 NY Practitioner - Physical Therapist in Private Practice 4880508613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erik Peterson Physical Therapy PCGroup PAC ID 0749457125, 3 clinicians

Practice addresses (Care Compare)

100 Montauk Hwy
Amagansett, NY 11930-2835
Phone (631) 324-3200

Merit-based Incentive Payment System (MIPS)

Final score
87.69 of 100Reported as group
Quality
86.29
Improvement activities
40
Cost
77.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
023533-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Erik Peterson Physical Therapy PC Physical Therapist CurrentSince May 6, 2010 Accepting new patients
Peterson Medical Supply Company Past Accepting new patients
Hampton Medical Wellness, P.C. Physical Therapist Past Accepting new patients

Locations

45 Skimhampton Rd
East Hampton, NY 11937
Phone (631) 324-3200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1558525311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2835",
            "city": "AMAGANSETT",
            "state": "NY",
            "postal_code": "119302835",
            "telephone_number": "631-324-3200",
            "fax_number": "631-324-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MONTAUK HWY",
            "city": "AMAGANSETT",
            "state": "NY",
            "postal_code": "119302835",
            "telephone_number": "631-324-3200",
            "fax_number": "631-324-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ERIK",
        "middle_name": "B",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023533-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amagansett, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.