Courtney Jean Peterson

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Practice address

210 Porter Dr
San Ramon, CA 94583-1588

Phone

(925) 743-3322

NPI assigned

Apr 5, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1083355804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19832 ALANA RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464505",
            "telephone_number": "510-421-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 PORTER DR",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831588",
            "telephone_number": "925-743-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "COURTNEY",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Solar Pers, PA-C
• Aishwarya Perumal
• Peter J Villalpando
• Valerie Peters
• Bruce Douglas Peterson, DC
• Deanna Peterson
• Erica Peterson, MOTR/L
• Marcus Peterson
• Raquel Peterson
• Hallie Pettibone

• Pediatric Occupational Therapist in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.