Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Michael Peysaknov, PT, DPT

Individual provider Physical Therapist · NPI 1518792480

Dr. Michael Peysaknov, PT, DPT is a Physical Therapist in West Orange, New Jersey. Licensed in New Jersey. Registered with an NPI since 2024.

Licensed in
NJ
In the registry since
2024
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1199 Pleasant Valley Way
West Orange, NJ 07052-1424
Phone: (973) 731-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA02172500 (NJ)

Record details

NPI number1518792480
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedSeptember 2, 2024
Last updated in NPPESSeptember 2, 2024
Certification dateSeptember 2, 2024

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