Individual provider Active NPI

Peter Yeager, MSPT

  • Physical Therapist
  • Huntington, NY
National Provider Identifier
1598836710
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
164 E Main St
Suite 4
Huntington, NY 11743-2955
Phone
(631) 470-9515
Fax
(631) 470-9513
NPI assigned
Nov 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

164 E Main St
Suite 4
Huntington, NY 11743-2955

Mailing address

164 E Main St
Suite 4
Huntington, NY 11743-2955
Phone (631) 470-9515

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040408000662 NY Practitioner - Physical Therapist in Private Practice 8527051002 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Mercy College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

164 E Main St
Suite 4
Huntington, NY 11743-2955
Phone (631) 470-9515

9525 Queens Blvd
Suite 3D
Rego Park, NY 11374-4510
Phone (718) 925-6212

Merit-based Incentive Payment System (MIPS)

Final score
81.58 of 100Reported as individual
Quality
78.33
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
022590NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
We Care Physical Therapy, P.C. Single Specialty CurrentSince Jan 1, 2020 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Single Specialty CurrentSince Jul 1, 2023 Accepting new patients
Dynamic Physical Therapy Assoc.PLLC Single Specialty CurrentSince Sep 1, 2008 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic CurrentSince Jul 1, 2023 Accepting new patients
Physiologic Physical Therapy PC Single Specialty PastSince Mar 1, 1994 Accepting new patients

Locations

164 E Main St
Ste 4
Huntington, NY 11743
Phone (631) 470-9515

9525 Queens Blvd
Ste 3D
Rego Park, NY 11374
Phone (718) 925-6212

Organizations & group practices 5

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1598836710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 E MAIN ST",
            "address_2": "SUITE 4",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432955",
            "telephone_number": "631-470-9515",
            "fax_number": "631-470-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 E MAIN ST",
            "address_2": "SUITE 4",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432955",
            "telephone_number": "631-470-9515",
            "fax_number": "631-470-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEAGER",
        "first_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.