Linda M Peters, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT001161E Issued in PA

Practice address

370 E Maple Ave
Suite 103
Langhorne, PA 19047-2859

Phone

(215) 752-4553

Fax

(215) 752-0703

NPI assigned

Jun 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Sports and Back Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Langhorne, PA
  • NPI 1245273127
  NPD (past) Authorized official

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303862400000",
    "number": "1831132976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 E MAPLE AVE",
            "address_2": "SUITE 103",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190472859",
            "telephone_number": "215-752-4553",
            "fax_number": "215-752-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E MAPLE AVE",
            "address_2": "SUITE 103",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190472859",
            "telephone_number": "215-752-4553",
            "fax_number": "215-752-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "LINDA",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2011-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "PT001161E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "000464837",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0023856000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0053616",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Elizabeth Penza, D.O.
• Mitchell Perry, PA-C
• Personalized Internal Medicine, P.C.
• Peter a Sinaiko MDPC
• Francis D Peters, COTA/L
• John Petolillo Jr., DO
• Kathleen Petsis, BCBA
• Lauren Petticrew
• Santhosh Phiilip
• Gail Phillipps

• All providers in Langhorne, PA
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.