Individual provider Active NPI

Peter Christopher Lingas, DPT

  • Physical Therapist
  • San Bernardino, CA
National Provider Identifier
1942519178
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT37158 Issued in CA
Practice address
394 Commercial Rd
San Bernardino, CA 92408-3708
Phone
(909) 796-7700
NPI assigned
Oct 5, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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 PT37158 CA Primary

Addresses

Primary practice location

394 Commercial Rd
San Bernardino, CA 92408-3708

Mailing address

394 Commercial Rd
San Bernardino, CA 92408-3708
Phone (909) 796-7700

Other identifiers 1

IdentifierTypeStateIssuer
0270104OtherWAL & I

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101118001366 CA Practitioner - Physical Therapist in Private Practice 4789870502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Physical Therapy IncGroup PAC ID 0941236376, 5 clinicians

Practice addresses (Care Compare)

25864 Business Ctr Dr
Suite C
Redlands, CA 92374-4515
Phone (909) 796-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37158CAMDProfessional Counselor
PT37158CAMDPhysical Therapist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1942519178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 COMMERCIAL RD",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083708",
            "telephone_number": "909-796-7700",
            "fax_number": "909-796-4384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 COMMERCIAL RD",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083708",
            "telephone_number": "909-796-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGAS",
        "first_name": "PETER",
        "middle_name": "CHRISTOPHER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-05",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT37158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0270104",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.