Christine Denise Petterson, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

072-0000464 Issued in VT

Practice address

4066 Shelburne Rd
Suite 8
Shelburne, VT 05482-6905

Phone

(802) 985-8211

Fax

(802) 985-8733

NPI assigned

Nov 30, 2006

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

Other names 1

• Miss Christine Denise Kennedy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Philo Center for Sensory Based Evalutaion and Treatment, Inc.

  dba The Philo Center

  • Speech-Language Pathologist
  • Shelburne, VT
  • NPI 1013082528
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174691000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 ABIGAIL DR",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054463875",
            "telephone_number": "802-655-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4066 SHELBURNE RD",
            "address_2": "SUITE 8",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054826905",
            "telephone_number": "802-985-8211",
            "fax_number": "802-985-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTERSON",
        "first_name": "CHRISTINE",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VT",
            "license": "072-0000464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "KENNEDY",
            "middle_name": "DENISE",
            "prefix": "MISS",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nina Z Otter
• Passport Health Holdings, LLC (Passport Health)
• Pdi Health VT LLC
• Pdi Health VT LLC
• Emily Bishop Pelcher, HIS
• David H Pierson, D.C.
• Thomas Powell, PH.D.
• Powerback Rehabilitation LLC (Powerback Rehabilitation)
• Powerback Rehabilitation LLC (Powerback Rehabilitation)
• Stephen Powers

• Occupational Therapist in Shelburne, VT
• Providers in Shelburne, VT by specialty
• Occupational Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.