Active NPI
Peter Scott Patumaranan, PT
- Physical Therapist
- New York, NY
National Provider Identifier
1891923348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 030858
- Practice address
- 3 E 48TH St
5TH Floor
New York, NY 10017-1027 - Phone
- (212) 753-1175
- Fax
- (212) 753-1719
- NPI assigned
- Jun 23, 2009
- 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 | 030858 | NY | Primary |
Addresses
Primary practice location
3 E 48TH St
5TH Floor
New York, NY 10017-1027
Mailing address
1536 3Rd Ave
5TH Floor
New York, NY 10028-2167
Phone (212) 861-2630
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030858 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Physical Therapy and Wellness, PC | Physical Therapist | Past | Accepting new patients |
| Premier Physical Therapy and Wellness, PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- New York, NY
- NPI 1821412495
-
- Physical Therapist
- New York, NY
- NPI 1912996141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327276800000",
"number": "1891923348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1536 3RD AVE",
"address_2": "5TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100282167",
"telephone_number": "212-861-2630",
"fax_number": "212-861-2685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 E 48TH ST",
"address_2": "5TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100171027",
"telephone_number": "212-753-1175",
"fax_number": "212-753-1719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATUMARANAN",
"first_name": "PETER",
"middle_name": "SCOTT",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-23",
"last_updated": "2012-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "030858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.