Peterson Chiropractic & Sports Injury, S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038010289 Issued in IL

Legal business name

PETERSON CHIROPRACTIC & SPORTS INJURY, S.C.

Practice address

2706 Woodlawn Rd
Sterling, IL 61081-4100

Phone

(815) 535-9900

NPI assigned

Jan 10, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Erik D Peterson, D.C.NPI 1841225679

Title

Owner

Phone

(815) 535-9900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erik D Peterson, D.C.

  • Chiropractor
  • Sterling, IL
  • NPI 1841225679
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1003965708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 WOODLAWN RD",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610814100",
            "telephone_number": "815-535-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 WOODLAWN RD",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610814100",
            "telephone_number": "815-535-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSON CHIROPRACTIC & SPORTS INJURY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-535-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uttamkumar R Patel, DDS
• Pathways Counseling Services
• Julie Tai Penne
• Pedro Peralta, M.D.
• Gilberto Perez, CADC
• Erik D Peterson, D.C.
• Sue Peterson
• Samantha Nicole Petty, PMHNP
• Erin N Phalen, P.T.
• Lori L Phalen, PT

• Chiropractor in Sterling, IL
• Providers in Sterling, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.