Peach Tree Rehabilitation Inc

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

PEACH TREE REHABILITATION INC

Practice address

5 Brooks Edge Dr
New City, NY 10956-2100

Phone

(845) 645-5411

NPI assigned

Feb 23, 2021

Organization subpart

No

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

Authorized official

Name

Sima Metzger, SLP

Title

Owner

Phone

(845) 645-5411

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1689268393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BROOKS EDGE DR",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109562100",
            "telephone_number": "845-645-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BROOKS EDGE DR",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109562100",
            "telephone_number": "845-645-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACH TREE REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "METZGER",
        "authorized_official_first_name": "SIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-645-5411",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing and Speech Clinic/Center in New City, NY
• Providers in New City, NY by specialty
• Hearing and Speech Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.