NPIMap

Organization Active NPI

Jason N Peter DO PLLC

  • Physical Medicine & Rehabilitation Physician
  • Sterling Heights, MI
National Provider Identifier
1881986677
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
5101014928 Issued in MI
Legal business name
JASON N PETER DO PLLC
Practice address
5456 15 Mile Rd
Ste 102
Sterling Heights, MI 48310-5110
Phone
(586) 939-3044
NPI assigned
May 11, 2011
Last updated
May 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Authorized official

Name
Jason N Peter, DO
Title
DO
Phone
(586) 939-3304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 5101014928 MI Primary

Addresses

Primary practice location

5456 15 Mile Rd
Ste 102
Sterling Heights, MI 48310-5110

Mailing address

1059 Floyd St
Birmingham, MI 48009-3634
Phone (586) 939-3304

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1881986677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 FLOYD ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480093634",
            "telephone_number": "586-939-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5456 15 MILE RD",
            "address_2": "STE 102",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105110",
            "telephone_number": "586-939-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON N PETER DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "PETER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "586-939-3304",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5101014928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.