Individual provider Active NPI

Peter Joseph Van Twuyver, PT

  • Physical Therapist
  • Peabody, MA
National Provider Identifier
1871534495
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12130 Issued in MA
Practice address
1 Roosevelt Ave
Suite 205
Peabody, MA 01960-2200
Phone
(978) 531-5008
Fax
(978) 531-5508
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12130 MA Primary

Addresses

Primary practice location

1 Roosevelt Ave
Suite 205
Peabody, MA 01960-2200

Mailing address

1 Roosevelt Ave
Suite 205
Peabody, MA 01960-2200
Phone (978) 531-5008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871534495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ROOSEVELT AVE",
            "address_2": "SUITE 205",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602200",
            "telephone_number": "978-531-5008",
            "fax_number": "978-531-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROOSEVELT AVE",
            "address_2": "SUITE 205",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602200",
            "telephone_number": "978-531-5008",
            "fax_number": "978-531-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN TWUYVER",
        "first_name": "PETER",
        "middle_name": "JOSEPH",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "12130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.