Dwight a. Peace Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT14033 Issued in CA

Legal business name

DWIGHT A. PEACE PHYSICAL THERAPY

Practice address

134 Regis St
Suite a
Turlock, CA 95382-1130

Phone

(209) 632-9965

Fax

(209) 632-9966

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Dwight Alan Peace, PTNPI 1417915034

Title

Owner

Phone

(209) 632-9965

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Dwight Alan Peace, PT

  • Physical Therapist
  • Turlock, CA
  • NPI 1417915034
  NPD (past) Authorized official
• Nicole Renee Delworth, P.T.

  • Physical Therapist
  • Merced, CA
  • NPI 1063431401
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700958972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 STANDIFORD AVE",
            "address_2": "SUITE F",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501159",
            "telephone_number": "209-579-5628",
            "fax_number": "209-579-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 REGIS ST",
            "address_2": "SUITE A",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953821130",
            "telephone_number": "209-632-9965",
            "fax_number": "209-632-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWIGHT A. PEACE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEACE",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-632-9965",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT14033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHEILD",
            "identifier": "0PT140330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniella Duerksen
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• Brianne Duran, LPCC
• Lilan P Durano, FNP
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• Crystal A Dyrcz
• E. Isaac Faraji MD a Professional Corporation
• Lawana Kaye Earl, NP
• Denise Echevarria

• Physical Therapist in Turlock, CA
• Providers in Turlock, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.