Active NPIIndividual providerSole proprietor

Peter W Luciano Jr., PTA

Physical Therapy Assistant in Middletown, New York

NPI Number1063625895
Practice location
121 Dunning RD, Middletown, NY 10940-2243
Fax
—
Last updated
July 8, 2007

Peter Wilson Luciano is a Physical Therapy Assistant based in Middletown, NY. Peter Wilson Luciano practices in Middletown, NY and has the professional credentials of PTA. The NPI Number for Peter Wilson Luciano is 1063625895 and holds a License No. 002663-1 (NY). The current practice location address for Peter Wilson Luciano is 121 Dunning RD, Middletown, NY 10940-2243 and can be reached out via phone at 845-343-0801.

Provider Profile Details

NPI Number
1063625895
Provider Name
Peter Wilson Luciano
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
121 Dunning RD, Middletown, NY 10940-2243
Phone Number
845-343-0801
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
May 8, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
121 Dunning RD
Middletown, NY 10940-2243
Zip
10940-2243
Phone Number
845-343-0801
Middletown, NY 10940Get directions →

Provider Business Mailing Address Details

Address
12 Old Cross RD
Warwick, NY 10990-2905
City
Warwick
State
NY
Zip
10990-2905

License Information

License Number
002663-1
License State
NY
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Physical Therapy Assistants near Middletown, NY

View all Physical Therapy Assistants in Middletown →

Frequently Asked Questions

What is the NPI number of Peter W Luciano Jr., PTA?

The NPI number of Peter W Luciano Jr., PTA is 1063625895. It was assigned on May 8, 2007 and is currently active in the NPPES registry.

What is the specialty of Peter W Luciano Jr., PTA?

Peter W Luciano Jr., PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NY under license number 002663-1.

Where does Peter W Luciano Jr., PTA practice?

The practice location is 121 Dunning RD, Middletown, NY 10940-2243. The office can be reached at 845-343-0801 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063625895 directly on the NPPES registry website.

Browse related providers