Organization Active NPI

Pearl Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Plattsburgh, NY
National Provider Identifier
1669706750
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
028419-1 Issued in NY
Legal business name
PEARL PHYSICAL THERAPY, PC
Practice address
70 Court St
Plattsburgh, NY 12901-2832
Phone
(518) 563-7777
Fax
(518) 563-7770
NPI assigned
Sep 23, 2009
Last updated
Jun 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Authorized official

Name
Elizabeth Pearl, PTNPI 1396709044
Title
Physical Therapist/Owner
Phone
(518) 563-7777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 028419-1 NY Primary
Rehabilitation Clinic/Center 261QR0400X 028419-1 NY

Addresses

Primary practice location

70 Court St
Plattsburgh, NY 12901-2832

Mailing address

70 Court St
Plattsburgh, NY 12901-2832
Phone (518) 563-7777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100126000440 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7719029958 Receives reassigned benefits from 4 practitioners
Practice locations: Plattsburgh, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1669706750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 COURT ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012832",
            "telephone_number": "518-563-7777",
            "fax_number": "518-563-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 COURT ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012832",
            "telephone_number": "518-563-7777",
            "fax_number": "518-563-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "PEARL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "518-563-7777",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "028419-1",
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NY",
            "license": "028419-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.