Kevin Michael Peters

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

OT14149 Issued in FL

Practice address

4705 S Apopka Vineland Rd Ste 100
Orlando, FL 32819-3151

Phone

(407) 905-9300

NPI assigned

Nov 18, 2024

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1124843958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5114 INDIALANTIC DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328084508",
            "telephone_number": "407-405-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 S APOPKA VINELAND RD STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328193151",
            "telephone_number": "407-905-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "FL",
            "license": "OT14149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Wilberforce Peters Jr.
• Calvin Ronald Peters, MD
• Chelsea Monique Peters, DNP, APRN, CPNP-PC
• Jessica Peters
• Kendall K Peters, MD
• Krysta Peters, M.D.
• Lisa M Peters, DMD
• Christian Petersen-Hays, DPT
• Eric Petersen
• Mary Petersen

• Physical Rehabilitation Occupational Therapist in Orlando, FL
• Providers in Orlando, FL by specialty
• Physical Rehabilitation Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.