Shelby Peterson

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

23054 Post Gardens Way Apt 419
Boca Raton, FL 33433-7115

Phone

(207) 730-2580

NPI assigned

Jun 13, 2018

Last updated

Jun 13, 2018By the provider in NPPES

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": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1144713132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23054 POST GARDENS WAY APT 419",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334337115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23054 POST GARDENS WAY APT 419",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334337115",
            "telephone_number": "207-730-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "SHELBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter J Recupero DO PA
• Camille Peters, OT/L
• Darian Peters
• Ginger Peterson
• Kathryn Schulz Peterson, M.O.T., OTR/L
• Sima Petilli
• Carla Petion
• Luthny Petitdo
• Elizabeth Ann Petlev, MSCCCSLP
• Jaclyn Ann Petrassi, M.A., CCC-SLP

• Athletic Trainer in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.