Megan Peterson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

14380 Issued in TX

Practice address

600 E Bailey Boswell Rd Ste 150
Ft Worth, TX 76131-3573

Phone

(817) 482-3388

Fax

(817) 704-0393

NPI assigned

Nov 13, 2024

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

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Revitalize ChiropracticGroup PAC ID 6204361215, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Revitalize Chiropractic

  • Chiropractor
  • Ft Worth, TX
  • NPI 1982428249
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1013731371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E BAILEY BOSWELL RD STE 150",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761313573",
            "telephone_number": "817-482-3388",
            "fax_number": "817-704-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E BAILEY BOSWELL RD STE 150",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761313573",
            "telephone_number": "817-482-3388",
            "fax_number": "817-704-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "MEGAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fredda Peterson, OT
• Jennifer Elaine Peterson, PT
• Joel Peterson, LPC
• Lauren E Peterson, DDS
• Leah Peterson, OTR/L, OTD
• Paula M Peterson, FNP
• Jessica Paige Pethtel, LMSW
• Sondra C Petit, NP
• Aldis Michelle Petite
• Nicole Marie Petite, APRN

• Chiropractor in Ft Worth, TX
• Providers in Ft Worth, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.