Active NPI
Valerie Peck, PT
- Physical Therapist
- Central Square, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 031922-1
- Practice address
- 573 S Main St
Central Square, NY 13036-9785 - Phone
- (315) 676-3826
- NPI assigned
- Nov 16, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 031922-1 | NY | Primary |
Addresses
Primary practice location
573 S Main St
Central Square, NY 13036-9785
Mailing address
573 S Main St
Central Square, NY 13036-9785
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200608002441 | NY | Practitioner - Physical Therapist in Private Practice | 5193146702 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Onondaga Physical Therapy, LLC
Practice addresses (Care Compare)
6800 E Genesee St
Fayetteville, NY 13066-1089
Phone (315) 635-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031922-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onondaga Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Onondaga Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Onondaga Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Onondaga Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
| Michael P McGee Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
| Nicole Derue Physical Therapy P.C. | Past | Accepting new patients |
Locations
19 E Genesee St
Ste 103
Baldwinsville, NY 13027
6265 State Route 31
Cicero, NY 13039
6800 E Genesee St
Fayetteville, NY 13066
Phone (315) 446-4400
8390 Oswego Rd
Liverpool, NY 13090
Phone (315) 652-4323
7575 Buckley Rd
Syracuse, NY 13212
Phone (315) 635-0000
Organizations & group practices 6
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.
-
- Physical Therapist
- Wolcott, NY
- NPI 1689931461
-
- Physical Therapist
- Syracuse, NY
- NPI 1811094402
-
- Physical Therapist
- East Syracuse, NY
- NPI 1205997822
-
- Physical Therapy Clinic/Center
- Central Square, NY
- NPI 1053503185
-
- Physical Therapist
- Baldwinsville, NY
- NPI 1548367139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258329600000",
"number": "1609103449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "573 S MAIN ST",
"city": "CENTRAL SQUARE",
"state": "NY",
"postal_code": "130369785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "573 S MAIN ST",
"city": "CENTRAL SQUARE",
"state": "NY",
"postal_code": "130369785",
"telephone_number": "315-676-3826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECK",
"first_name": "VALERIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-16",
"last_updated": "2009-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "031922-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Central Square, NY
- Nicole Derue Physical Therapy P.C.
- Northern Oswego County Health Services, Inc.
- Erin Elizabeth Oaster, LMFT
- Renee Paduano, M.S.
- Palma and Nardozza Dental Services
- William E Peck, RPH
- Stacey Lynn Pickett, L.P.N.
- Timothy Shawn Pierce, RPH., MS
- Podiatry Services of Central New York, PC
- Port City Emergency Physicians LLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.