Active NPI
Guido Peeters, PT
- Physical Therapist
- Pittsburgh, PA
National Provider Identifier
1891758819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT006309L
- Practice address
- 310 Fisk St
Pittsburgh, PA 15201-1708 - Phone
- (412) 622-9019
- NPI assigned
- Apr 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT006309L | PA | Primary |
Addresses
Primary practice location
310 Fisk St
Pittsburgh, PA 15201-1708
Mailing address
418 Hastings Dr
Cranberry TWP, PA 16066-3536
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891758819 | Medicaid | PA |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | UPMCCanterburyPlace@upmcdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | UPMCCanterburyPlace@upmcdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | UPMCCanterburyPlace@upmcdirect.com | Health Information Exchange (HIE) |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT006309L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614902400000",
"number": "1891758819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 HASTINGS DR",
"city": "CRANBERRY TWP",
"state": "PA",
"postal_code": "160663536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 FISK ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152011708",
"telephone_number": "412-622-9019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEETERS",
"first_name": "GUIDO",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2021-03-05",
"certification_date": "2021-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT006309L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891758819",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "UPMCCanterburyPlace@upmcdirect.com",
"affiliation": "N",
"endpointDescription": "secure UPMC direct address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "310 Fisk St",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152011708",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "UPMCCanterburyPlace@upmcdirect.com",
"affiliation": "N",
"endpointDescription": "secure UPMC direct address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "310 Fisk St",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152011708",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "UPMCCanterburyPlace@upmcdirect.com",
"affiliation": "N",
"endpointDescription": "secure UPMC direct address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "310 Fisk St",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152011708",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.