Individual provider Active NPI

Katherine Peterson, PT

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1013382688
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1247111 Issued in TX
Practice address
9220 Kirby Dr Ste 1000
Houston, TX 77054-2534
Phone
(713) 383-9700
NPI assigned
Dec 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1247111 TX Primary

Addresses

Primary practice location

9220 Kirby Dr Ste 1000
Houston, TX 77054-2534

Mailing address

9220 Kirby Dr Ste 1000
Houston, TX 77054-2534
Phone (713) 383-9700

Other practice location 1

4907 Cloverfield Dr
Pearland, TX 77584-8635
Phone (985) 705-6467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1247111TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peterson Pediatric Therapy, PLLC Physical Therapist CurrentSince Mar 16, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1013382688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 KIRBY DR STE 1000",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542534",
            "telephone_number": "713-383-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 KIRBY DR STE 1000",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542534",
            "telephone_number": "713-383-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4907 Cloverfield Dr",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775848635",
            "country_code": "US",
            "telephone_number": "985-705-6467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "KATHERINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-08",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1247111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.