NPI 1487614160 · live from the CMS NPI Registry
Peter Ackerman, PA-C, ATC, CSCS
Physician Assistant, Surgical in Danbury, CT. National Provider Identifier 1487614160, active.
NPI record
| NPI | 1487614160 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Surgical 363AS0400X |
| Practice location | 2 Riverview Dr, Danbury, CT 06810 |
| Practice phone | 203-797-1500 |
| Enumerated | March 25, 2006 |
| Last updated | May 23, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist/Technologist, Athletic Trainer | 2255A2300X | no licenses yet (CT) |
| Physician Assistant | 363A00000X | 002645 (CT) |
| Physician Assistant, Surgical primary | 363AS0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.