Dagnija M Peterson, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 6253 Issued in CA

Practice address

4283 Piedmont Ave
Suite E5
Oakland, CA 94611-4758

Phone

(510) 923-0848

Fax

(510) 654-1406

NPI assigned

Jul 11, 2005

Sex

Female

Sole proprietor

Yes

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of California, San Francisco School of Medicine, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281657600000",
    "number": "1104824499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4283 PIEDMONT AVE",
            "address_2": "SUITE E5",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946114758",
            "telephone_number": "510-923-0848",
            "fax_number": "510-654-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4283 PIEDMONT AVE",
            "address_2": "SUITE E5",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946114758",
            "telephone_number": "510-923-0848",
            "fax_number": "510-654-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "DAGNIJA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2010-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 6253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sidney Petersen, RN
• Audrey Lauren Peterson, D.D.S.
• Ayannah Nichole Peterson
• Caroline Alston Peterson, D.M.D.
• Chad Peterson, RNFA
• Ellen Tanner Peterson, RN, CPNP, MSN
• Janis Marie Peterson
• Kay Peterson, LMFT
• Michael Alex Peterson, PH.D.
• Ralph L Peterson, MD

• Physical Therapist in Oakland, CA
• Providers in Oakland, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.