Bridget Ann Peterson, OTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

7840 Issued in NC

Practice address

119 S Fuquay Ave
Fuquay Varina, NC 27526-2210

Phone

(919) 557-8305

NPI assigned

Feb 28, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1144357617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 HIGHROCK LAKE RD",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275263928",
            "telephone_number": "707-386-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S FUQUAY AVE",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262210",
            "telephone_number": "919-557-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "BRIDGET",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R2541",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MS",
            "license": "OT2372",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "7840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiesha Peebles
• Nadia Perez
• Marcy Alana Person
• Courtney Pestovich, LCMHCA, CRC
• Sally A Peters, CSW
• Alicia Ivana Peton, M.S., LCMHC
• Lori Johnson Petree, DDS
• Chante Dominique Pettiford, DPT
• Phoenix Partners NC
• Pinecrest Chiropractic PLLC

• Pediatric Occupational Therapist in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Pediatric Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.