Individual provider Active NPI

Gregory Todd Peake, PT

  • Physical Therapist
  • Johnson City, NY
National Provider Identifier
1598723744
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
017381-1 Issued in NY
Practice address
800 Valley PLZ
Suite 9
Johnson City, NY 13790-1046
Phone
(607) 729-2200
Fax
(607) 729-2202
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 017381-1 NY Primary

Addresses

Primary practice location

800 Valley PLZ
Suite 9
Johnson City, NY 13790-1046

Mailing address

800 Valley PLZ
Suite 9
Johnson City, NY 13790-1046
Phone (607) 729-2200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051209000092 NY Practitioner - Physical Therapist in Private Practice 3072534775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broome Orthopedic and Sport Physical TherapyGroup PAC ID 2062429475, 2 clinicians

Practice addresses (Care Compare)

800 Valley PLZ
Suite 9
Johnson City, NY 13790-1046
Phone (607) 729-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
017381-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Broome Orthopedic & Sport Physical Therapy CurrentSince Apr 1, 2006 Accepting new patients

Locations

800 Valley Plz
Ste 9
Johnson City, NY 13790
Phone (607) 729-2200

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1598723744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 VALLEY PLZ",
            "address_2": "SUITE 9",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901046",
            "telephone_number": "607-729-2200",
            "fax_number": "607-729-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 VALLEY PLZ",
            "address_2": "SUITE 9",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901046",
            "telephone_number": "607-729-2200",
            "fax_number": "607-729-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAKE",
        "first_name": "GREGORY",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017381-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.