Jonathan Paul Pecoraro, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

08108 Issued in LA

Practice address

4038 Pontchartrain Dr
Slidell, LA 70458-5136

Phone

(985) 643-2300

Fax

(985) 643-2307

NPI assigned

Jun 28, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cypress PT North LLCGroup PAC ID 7315361078, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cypress PT North LLC

  • Physical Therapist
  • Hammond, LA
  • NPI 1487271755
  Medicare reassignment Care Compare group NPD Authorized official
• BBV, LLC

  • Physical Therapist
  • Slidell, LA
  • NPI 1174607808
  NPD (past)

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1699061689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4038 PONTCHARTRAIN DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704585136",
            "telephone_number": "985-643-2300",
            "fax_number": "985-643-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4038 PONTCHARTRAIN DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704585136",
            "telephone_number": "985-643-2300",
            "fax_number": "985-643-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECORARO",
        "first_name": "JONATHAN",
        "middle_name": "PAUL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Marie Pauratore, LCSW, LMFT
• Ann Nguyen Payer, DDS
• Peace Love Wellness Health System
• Pearl Acres Pediatrics LLC
• Kimberly Peart-Byrd, LCSW
• Kristina Dianne Pedescleaux I
• Pediatric Specialty Care, LLC
• Joseph A Pedone, MD
• Pedro a Serrant MD LLC
• Pelican Physician Services, LLC

• Physical Therapist in Slidell, LA
• Providers in Slidell, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.