Peter Cradduck, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT029236 Issued in PA

Practice address

1805 Loucks Rd Ste 200
York, PA 17408-7903

Phone

(717) 764-0144

NPI assigned

Feb 4, 2021

Last updated

Feb 4, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in PA, MD2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Homecare Rehab and Nursing LLCGroup PAC ID 7517026198, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Homecare Rehab and Nursing LLC

  • Physical Medicine & Rehabilitation Physician
  • Frederick, MD
  • NPI 1235387762

  PA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Shippensburg Physical Therapy and Sports Medicine, LLC

  • Physical Therapist
  • Shippensburg, PA
  • NPI 1972671352
  NPD

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1558953372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-541-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 LOUCKS RD STE 200",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174087903",
            "telephone_number": "717-764-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRADDUCK",
        "first_name": "PETER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Davies James Cover, CRNP
• Graham Cox-Holmes
• Andrea Cox, CRNP
• Cynthia A Cox, PHD
• Cpgel Care, LLC (Compassionate Hearts Personal Assistance)
• Elizabeth McLeod Craft, LCSW
• Amanda Craig
• Beth Ann Craig, ATC
• Brandi L Craig, CRNP
• Richard Craig, MD

• Physical Therapist in York, PA
• Providers in York, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.