Jessica Sue Peters

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

10 Burkle St
Oswego, NY 13126-3259

Phone

(315) 342-4600

NPI assigned

Jul 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• 315 Therapy for PT, OT and SLP, PLLC

  • Early Intervention Provider Agency
  • Oswego, NY
  • NPI 1801573852
  NPD (past)

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1841863693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 W 1ST ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BURKLE ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263259",
            "telephone_number": "315-342-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "JESSICA",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1430280201",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jpeters@littlelukes.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Little lukes",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10 Burkle St",
            "city": "Oswego",
            "state": "NY",
            "country_code": "US",
            "postal_code": "131263259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jpeters@littlelukes.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Little lukes daycare",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "159 W 1st St",
            "city": "Oswego",
            "state": "NY",
            "country_code": "US",
            "postal_code": "131262045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ariel Perez
• Samantha Nicole Perez
• Mary Ann Perlman, NP
• Sara Elizabeth Perrigo
• Alajah Person, COTA
• Jodi Peters
• Mackenzie Petrocci
• Caryl Petrus, PT
• Krystin Michele Petzoldt, CCC-SLP
• Jenna Pfeiffer, MS, OTR/L

• Specialist in Oswego, NY
• Providers in Oswego, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.