Life PT Online, P.L.L.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LIFE PT ONLINE, P.L.L.C.

Practice address

199 Orchard Rd
East Patchogue, NY 11772-5510

Phone

(631) 742-4282

NPI assigned

May 26, 2020

Organization subpart

No

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

Authorized official

Name

Loretta Marie Peck, PTNPI 1699955146

Title

Physical Therapist/Owner

Phone

(631) 742-4282

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Loretta Marie Peck, P.T.

  • Physical Therapist
  • East Patchogue, NY
  • NPI 1699955146
  NPD Authorized official

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1649893603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 395",
            "city": "BROOKHAVEN",
            "state": "NY",
            "postal_code": "117190395",
            "telephone_number": "631-742-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 ORCHARD RD",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117725510",
            "telephone_number": "631-742-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE PT ONLINE, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "631-742-4282",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee C Lee, MSED, BCBA
• Sanga Lee, M.D.
• Heather Leonardi
• Taylor Lee Leonette, DPT
• Grace Garcia Lessing, MD
• Scott Andrew Litwin, PT
• Janice Loiacano, R.N.
• Cathy Lombardo, LPN
• Long Island Cardiology Associates, LLP
• Long Island Certified Hand Therapy and Custom Orthotics, Occupational

• Physical Therapist in East Patchogue, NY
• Providers in East Patchogue, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.