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CRAIG PETERSON
NPI 1891877445
Specialist in Syracuse, NY

Active since October 20, 2006
207 PINE ST, SYRACUSE, NY 13210(315) 476-3176(315) 476-0171 Get Directions Write a Review

NPPES record last updated: February 10, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Craig Peterson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRAIG PETERSON (NPI 1891877445) is an individual specialist in Syracuse, New York, licensed in New York (8143) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1891877445
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameCRAIG PETERSON
Location Address207 PINE STSyracuse, NY 13210-1137
Mailing Address207 Pine StSyracuse, NY 13210-1137 · (315) 476-3176 · Fax (315) 476-0171
Phone(315) 476-3176
Fax(315) 476-0171
Sole ProprietorNo
Enumeration DateOctober 20, 2006
Last NPPES UpdateFebruary 10, 2011
✔ NPI 1891877445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 8143
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedPhysical TherapistTaxonomy 225100000X
207 PINE ST, Syracuse, NY 13210
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Other Identifiers 2

Medicare ID-Type UnspecifiedBB5525NY
Medicare UPINR57010NY

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETH COLBERT OT CHT
Occupational Therapist
207 PINE ST
SYRACUSE, NY 13210
Onondaga County (315) 476-3176
PETERSON & NELLIS PHYSICAL THERAPY PC
Specialist
207 PINE ST
SYRACUSE, NY 13210
Onondaga County (315) 476-3176
MELISSA LINCK
Specialist
207 PINE ST
SYRACUSE, NY 13210
Onondaga County (315) 476-3176
MORGAN PHILLIPS PT, DPT
Physical Therapist
207 PINE ST
SYRACUSE, NY 13210
Onondaga County (315) 476-3176
ALYXANDRA PANARITES
Physical Therapist
207 PINE ST
SYRACUSE, NY 13210
Onondaga County (315) 476-3176
KEVIN J NELLIS PT
Physical Therapist
207 PINE ST
SYRACUSE, NY 13210
Onondaga County (315) 476-3175

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Craig Peterson's NPI number?

The NPI number for Craig Peterson is 1891877445. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Craig Peterson located?

Craig Peterson practices at 207 Pine St, Syracuse, NY 13210. The listed phone number is (315) 476-3176.

What is Craig Peterson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Craig Peterson was last updated on February 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.