Active NPI
Peak Physical Therapy, PC
- Physical Therapy Clinic/Center
- Newburgh, NY
National Provider Identifier
1780617431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 8709
- Legal business name
- PEAK PHYSICAL THERAPY, PC
- Practice address
- 260 North St
Newburgh, NY 12550-3131 - Phone
- (845) 565-5054
- Fax
- (845) 565-4071
- NPI assigned
- Jul 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel J Fishman, PT, CHT, MTC
- Title
- Physical Therapist/Director
- Phone
- (845) 565-5054
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 8709 | NY | Primary |
Addresses
Primary practice location
260 North St
Newburgh, NY 12550-3131
Mailing address
260 North St
Newburgh, NY 12550-3131
Phone (845) 565-5054
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01572430 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
260 North St
Newburgh, NY 12550
Phone (845) 565-5054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235606400000",
"number": "1780617431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 NORTH ST",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125503131",
"telephone_number": "845-565-5054",
"fax_number": "845-565-4071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 NORTH ST",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125503131",
"telephone_number": "845-565-5054",
"fax_number": "845-565-4071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEAK PHYSICAL THERAPY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-08",
"last_updated": "2009-02-26",
"status": "A",
"authorized_official_last_name": "FISHMAN",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PHYSICAL THERAPIST/DIRECTOR",
"authorized_official_telephone_number": "845-565-5054",
"authorized_official_credential": "PT, CHT, MTC"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NY",
"license": "8709",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01572430",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.