Putira Peter Siv, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA02229400 Issued in NJ

Practice address

127 Bridgeton Pike Unit D
Mullica Hill, NJ 08062-2623

Phone

(856) 478-0275

NPI assigned

Dec 8, 2023

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 NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivyrehab Network IncGroup PAC ID 3476539776, 658 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.

• Ivyrehab Network Inc.

  • Physical Therapist
  • Hoboken, NJ
  • NPI 1174577274
  Medicare reassignment Care Compare group
• Osprey Rehabilitation, LLC.

  • Physical Therapy Clinic/Center
  • Hammonton, NJ
  • NPI 1659085678

  Physical Therapist

  Medicare reassignment NPD
• Rehabclinics SPT Inc.

  • Physical Therapy Clinic/Center
  • Little Egg Harbor, NJ
  • NPI 1699113688
  Medicare reassignment NPD
• Ivyrehab Network Inc

  • Physical Therapist
  • Hoboken, NJ
  • NPI 1861623753
  NPD
• Ivyrehab Network, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Cranford, NJ
  • NPI 1699590265

  Physical Therapist

  NPD
• Osprey Rehabilitation, LLC.

  • Physical Therapy Clinic/Center
  • Linwood, NJ
  • NPI 1255064044
  NPD
• Rehabclinics SPT Inc

  • Physical Therapy Clinic/Center
  • Moorestown, NJ
  • NPI 1346246824
  NPD
• Rehabclinics SPT, Inc.

  • Physical Therapy Clinic/Center
  • Chalfont, PA
  • NPI 1952009482
  NPD
• Rehabclinics SPT Inc

  • Physical Therapy Clinic/Center
  • Manahawkin, NJ
  • NPI 1043271216
  NPD (past)

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1710754866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 BARCLAY BLVD",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080535684",
            "telephone_number": "609-721-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 BRIDGETON PIKE UNIT D",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080622623",
            "telephone_number": "856-478-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIV",
        "first_name": "PUTIRA",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02229400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Sherry, PT, DPT
• Sheraz Siddiqui, M.D.
• Paul Joseph Silver, MD
• Adam Jonathon Singh, PHARMD.
• Gurinder Singh
• Katerina Eleni Skedros
• Connor Skilton
• Katherine Skinner, ATC
• Corey Smigiel, DMD
• Kenneth Smith Jr., DO

• Physical Therapist in Mullica Hill, NJ
• Providers in Mullica Hill, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.