Active NPIIndividual providerSole proprietor

Mr. Luke Peddada, PTA

Physical Therapy Assistant in East Orange, New Jersey

NPI Number1811869506
Practice location
175 Prospect St Apt 4B, East Orange, NJ 07017-2615
Fax
—
Last updated
October 24, 2025

Luke Peddada is a Physical Therapy Assistant based in East Orange, NJ. Luke Peddada practices in East Orange, NJ and has the professional credentials of PTA. The NPI Number for Luke Peddada is 1811869506 and holds a License No. 009361 (NY). The current practice location address for Luke Peddada is 175 Prospect St Apt 4B, East Orange, NJ 07017-2615 and can be reached out via phone at 347-698-7028.

Provider Profile Details

NPI Number
1811869506
Provider Name
Luke Peddada
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
175 Prospect St Apt 4B, East Orange, NJ 07017-2615
Phone Number
347-698-7028
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
September 22, 2025
Last Update Date
October 24, 2025
Certification Date
September 22, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
175 Prospect St Apt 4B
East Orange, NJ 07017-2615
Zip
07017-2615
Phone Number
347-698-7028
East Orange, NJ 07017Get directions →

Provider Business Mailing Address Details

Address
175 Prospect St Apt 4B
East Orange, NJ 07017-2615
City
East Orange
State
NJ
Zip
07017-2615

License Information

License Number
009361
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.

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Frequently Asked Questions

What is the NPI number of Mr. Luke Peddada, PTA?

The NPI number of Mr. Luke Peddada, PTA is 1811869506. It was assigned on September 22, 2025 and is currently active in the NPPES registry.

What is the specialty of Mr. Luke Peddada, PTA?

Mr. Luke Peddada, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NY under license number 009361.

Where does Mr. Luke Peddada, PTA practice?

The practice location is 175 Prospect St Apt 4B, East Orange, NJ 07017-2615. The office can be reached at 347-698-7028 (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 1811869506 directly on the NPPES registry website.

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