Active NPI
Peter Harris, PT
- Physical Therapist
- West Seneca, NY
National Provider Identifier
1912000498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 012075
- Practice address
- 130 Empire Dr
Empire Drive Health Center
West Seneca, NY 14224 - Phone
- (716) 668-6352
- NPI assigned
- Sep 7, 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 | 012075 | NY | Primary |
Addresses
Primary practice location
130 Empire Dr
Empire Drive Health Center
West Seneca, NY 14224
Mailing address
800 Carter Street
Rochester, NY 14621
Phone (585) 339-4793
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00011283007 | Other | NY | UNIVERA # |
| 0145195 | Other | NY | GHI PPO # |
| P00357162 | Other | NY | MEDICARE RAILROAD # |
| 050422000005 | Other | NY | FIDELIS CARE # |
| 159884FT | Other | NY | PREFERRED CARE # |
| 000611325005 | Other | NY | HEALTH NOW BCBS # |
| 0191145 | Other | NY | IHA # |
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": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912000498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 CARTER STREET",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14621",
"telephone_number": "585-339-4793",
"fax_number": "585-336-4845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 EMPIRE DR",
"address_2": "EMPIRE DRIVE HEALTH CENTER",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "14224",
"telephone_number": "716-668-6352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "PETER",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "012075",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA #",
"identifier": "00011283007",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO #",
"identifier": "0145195",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD #",
"identifier": "P00357162",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS CARE #",
"identifier": "050422000005",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE #",
"identifier": "159884FT",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NOW BCBS #",
"identifier": "000611325005",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA #",
"identifier": "0191145",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Seneca, NY
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.