Peter Michael Talty, OTR

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

000059 Issued in NY

Practice address

6000 Brockton Dr
Lockport, NY 14094-9273

Phone

(716) 433-4718

NPI assigned

Sep 29, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1861701567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BLUEBIRD LN",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142281024",
            "telephone_number": "716-688-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 BROCKTON DR",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949273",
            "telephone_number": "716-433-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALTY",
        "first_name": "PETER",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NY",
            "license": "000059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Jo Swartz, P.T.
• James Swift, LMSW
• Abigail Swiger-Burghardt
• Julia Szafranski, RPA-C
• Sheryl Michele Szymanski
• Nicole Taurgrasso, RN
• Heather Taylor, MSW
• Lyndsey Taylor
• Team Excellence
• The Center for Family Therapy

• Community Health Worker in Lockport, NY
• Providers in Lockport, NY by specialty
• Community Health Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.