Peter A Conrique

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT25868 Issued in FL

Practice address

12961 N Main St
Suite 201 & 202
Jacksonville, FL 32218-2769

Phone

(904) 757-2474

Fax

(904) 757-5541

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

83.26 of 100Reported as group

Quality

86.58

Improvement activities

40

Cost

68.79

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.

• Florida Luna Care Physical Therapy LLC

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1114542032
  Medicare reassignment NPD
• Jacksonville Orthopaedic Institute Inc

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1154581379
  NPD (past)
• Jacksonville Orthopaedic Institute Inc

  • Orthopaedic Surgery Physician
  • Jacksonville, FL
  • NPI 1346298023

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1720198435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55801 BEAR RUN RD",
            "city": "CALLAHAN",
            "state": "FL",
            "postal_code": "320118514",
            "telephone_number": "904-879-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12961 N MAIN ST",
            "address_2": "SUITE 201 & 202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322182769",
            "telephone_number": "904-757-2474",
            "fax_number": "904-757-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRIQUE",
        "first_name": "PETER",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT25868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Carmen Cononie, PT
• Jessica Conover
• Adam Michael Conrad, CRNA
• Shyeanne Deja Nicole Conrad
• Tiffany Conrad
• John Paul Conroy, OT
• Lisa Ann Conroy, BSN,RN,IBCLC
• Conscious Sol, LLC
• Katherine V Considine, M.D.
• Consolidated Pharmacy Services

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.