Sara Katherine Petersen, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004916 Issued in IA

Practice address

1008 W 35TH St
Davenport, IA 52806-5827

Phone

(563) 362-0060

NPI assigned

Jul 18, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sara Katherine Horcher Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ora Orthopedics, PC

  • Orthopaedic Surgery Physician
  • Durant, IA
  • NPI 1639159700
  NPD (past)
• Rock Valley Therapy Services, PC

  • Pediatric Physical Therapist
  • Muscatine, IA
  • NPI 1700104833
  NPD (past)

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1013262849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 43RD AVE STE 100",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612658401",
            "telephone_number": "309-743-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 W 35TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528065827",
            "telephone_number": "563-362-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "SARA",
        "middle_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "HORCHER",
            "middle_name": "KATHERINE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charlene Marie Perkins, RN,LCCE,CD(DONA)
• Brittany Francisca Pernell, LMHC
• Michael Charles Persson Jr., M.D.
• Kathy Peters, DC
• Petersen Health Care, Inc.
• Amanda Jane Peterson
• Greg Robert Peterson
• Alyssa Allyson Petroni
• Joseph M Phelan, MD
• Harriet A Phelps, PSY.D, LISW

• Physical Therapist in Davenport, IA
• Providers in Davenport, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.