Active NPI
Victoria Margaret Peixoto, PTA
- Pediatric Physical Therapist
- Cranston, RI
National Provider Identifier
1992394951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PTA01221
- Practice address
- 178 Norwood Ave
Cranston, RI 02905-3923 - Phone
- (401) 302-1264
- NPI assigned
- Jan 14, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PTA01221 | RI | Primary |
Addresses
Primary practice location
178 Norwood Ave
Cranston, RI 02905-3923
Mailing address
22 Dewey Ave
North Providence, RI 02911-1803
Phone (401) 617-6238
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTA01221 | Other | RI | PHYSICAL THERAPY LICENSE |
Other names 1
- Victoria M Baluik
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vbaluik@sevenhills.org | Direct |
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 |
|---|---|---|---|
| PTA01221 | RI | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1992394951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 DEWEY AVE",
"city": "NORTH PROVIDENCE",
"state": "RI",
"postal_code": "029111803",
"telephone_number": "401-617-6238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 NORWOOD AVE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029053923",
"telephone_number": "401-302-1264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEIXOTO",
"first_name": "VICTORIA",
"middle_name": "MARGARET",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-14",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "RI",
"license": "PTA01221",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "PTA01221",
"state": "RI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vbaluik@sevenhills.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "178 Norwood Ave",
"city": "Cranston",
"state": "RI",
"country_code": "US",
"postal_code": "029053923",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "VICTORIA",
"last_name": "BALUIK",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.