Kenneth Samuel Peyton, DPT, CSCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT27589 Issued in CA

Practice address

5 Harris CT
Suite 2
Monterey, CA 93940-5751

Phone

(831) 643-1234

Fax

(831) 643-1233

NPI assigned

Jan 27, 2006

Last updated

Mar 13, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Monterey Orthopedic Physical Therapy

  • Physical Therapist
  • Monterey, CA
  • NPI 1639377799
  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1982675294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HARRIS CT",
            "address_2": "SUITE 2",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405751",
            "telephone_number": "831-643-1234",
            "fax_number": "831-643-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HARRIS CT",
            "address_2": "SUITE 2",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405751",
            "telephone_number": "831-643-1234",
            "fax_number": "831-643-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEYTON",
        "first_name": "KENNETH",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "PT27589",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT27589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Breanne Peters, LCSW
• J Michelle Peterson, LCSW
• John Louis Peterson, MD
• Tara Peterson, LMFT
• Alexandra Nicole Petrarca, DPT
• Hoang-Tuan K Pham, DO
• Joanna Ha Pham
• Pharmaca Integrative Pharmacy, Inc. (Pharmaca Integrative Pharmacy)
• Philip B Bhaskar DMD a Professional Corporation (Monterey Oral Surgery Dental Group)
• Philip Bhaskar DMD & Perry Silva DDS MD Oral & Maxillofacial Surgery

• Orthopedic Physical Therapist in Monterey, CA
• Providers in Monterey, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.