Active NPI
Brittany Peters
- Physical Therapist
- Anthem, AZ
National Provider Identifier
1043610835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11024
- Practice address
- 41125 N Daisy Mountain Dr
Suite 121
Anthem, AZ 85086-4954 - Phone
- (623) 551-9706
- Fax
- (623) 551-9708
- NPI assigned
- Aug 28, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11024 | AZ | Primary |
Addresses
Primary practice location
41125 N Daisy Mountain Dr
Suite 121
Anthem, AZ 85086-4954
Mailing address
41125 N Daisy Mountain Dr
Suite 125
Anthem, AZ 85086-4954
Phone (623) 551-9706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 954417 | Medicaid | AZ |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452470400000",
"number": "1043610835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41125 N DAISY MOUNTAIN DR",
"address_2": "SUITE 125",
"city": "ANTHEM",
"state": "AZ",
"postal_code": "850864954",
"telephone_number": "623-551-9706",
"fax_number": "623-551-5078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41125 N DAISY MOUNTAIN DR",
"address_2": "SUITE 121",
"city": "ANTHEM",
"state": "AZ",
"postal_code": "850864954",
"telephone_number": "623-551-9706",
"fax_number": "623-551-9708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "BRITTANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-28",
"last_updated": "2016-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "11024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "954417",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anthem, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.