Active NPI
Matthew Peil
- Clinical Exercise Physiologist
- Tavernier, FL
National Provider Identifier
1598512949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Exercise Physiologist
- License
- 1068086
- Practice address
- 91500 Overseas Hwy
Tavernier, FL 33070-2547 - Phone
- (305) 434-3700
- NPI assigned
- May 3, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Exercise Physiologist | 224Y00000X | 1068086 | FL | Primary |
Addresses
Primary practice location
91500 Overseas Hwy
Tavernier, FL 33070-2547
Mailing address
115 Pueblo St
Tavernier, FL 33070-2124
Phone (315) 807-8456
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1068086 | FL | MD | Clinical Exercise Physiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714694400000",
"number": "1598512949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 PUEBLO ST",
"city": "TAVERNIER",
"state": "FL",
"postal_code": "330702124",
"telephone_number": "315-807-8456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91500 OVERSEAS HWY",
"city": "TAVERNIER",
"state": "FL",
"postal_code": "330702547",
"telephone_number": "305-434-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEIL",
"first_name": "MATTHEW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-03",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "224Y00000X",
"taxonomy_group": "",
"desc": "Clinical Exercise Physiologist",
"state": "FL",
"license": "1068086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tavernier, FL
- Hannah Padgett, RDN
- Jean Marie Pallas Santaguida, ARNP
- Derek Francis Papp, M.D.
- Arlenis De la Caridad Pardo Perez
- Pediatric Therapy Support LLC
- Marilyn Penuela-Ladaga, ARNP
- Jennifer Perez, NP
- Tania Leandra Placencia, PA
- Plantation Key Care and Rehabilitation Center LLC
- Plantation Key Convalescent Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.