William Peters, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

029855 Issued in NY

Practice address

2 Delaware Dr
New Hyde Park, NY 11042

Phone

(516) 622-6161

NPI assigned

Jan 2, 2008

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 NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Mercy College, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pro Sports Performance Physical Therapy PCGroup PAC ID 8123163599, 3 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.

• Pro Sports Performance Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Garden City Park, NY
  • NPI 1669700126
  Medicare reassignment Care Compare group NPD Authorized official
• Pro Sports Performance, Inc

  • Physical Therapy Clinic/Center
  • Garden City Park, NY
  • NPI 1235366055
  NPD Authorized official
• Optum Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • Jericho, NY
  • NPI 1285975797
  NPD (past)

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199232000000",
    "number": "1831374545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DELAWARE DR",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DELAWARE DR",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11042",
            "telephone_number": "516-622-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "WILLIAM",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marius Leon Pessah, M.D.
• Kenneth Andrew Pessino, MD
• Raymond Pesso, M.D.
• John C Peters, MD
• Robert Mitchell Peters, M.D.
• Brittany Peterson, PA-C
• George Petkanas
• Bernadette Petra
• Cheri Lyn Petrarca, P.A.
• Danielle Nicole Petrilli

• Physical Therapist in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.