Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Peter Joseph Docdocil Petican

Individual provider Physical Therapy Assistant · NPI 1629662705

Peter Joseph Docdocil Petican is registered under Physical Therapist in Private Practice in Elmhurst, New York. Qualified in 2019, 7 years ago. Practices with Fox Rehabilitation Physical Therapy Services LLC, a 228-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

8717 52nd Ave
Elmhurst, NY 11373-3872
Phone: (346) 402-7357
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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 045869 (NY)
Physical Therapy Assistant Taxonomy 225200000X · Licence 012779 (NY)

Record details

NPI number1629662705
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 1, 2021
Last updated in NPPESMarch 1, 2021
Certification dateFebruary 18, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Fox Rehabilitation Physical Therapy Services Llc — 228 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Fox Rehabilitation Physical Therapy Services LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 228 clinicians in the practice; 12 are shown here.

Other providers in Elmhurst