Christopher David Peterson, MPT, MBA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

19057 Issued in MD

Practice address

144 Drury Dr
La Plata, MD 20646-2064

Phone

(301) 539-3807

Fax

(301) 539-3814

NPI assigned

Dec 19, 2007

Sex

Male

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

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peterson Physical Therapy LLCGroup PAC ID 7214158237, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

State licenses

Practice roles

Locations

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.

• Peterson Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • La Plata, MD
  • NPI 1316350077
  Medicare reassignment Care Compare group NPD
• Civista Medical Center Inc

  • Rural Acute Care Hospital
  • La Plata, MD
  • NPI 1992701825
  Medicare reassignment NPD
• Civista Medical Center, Inc.

  • Physical Therapist
  • La Plata, MD
  • NPI 1689071219
  NPD
• Civista Medical Center, Inc.

  • Clinical Medical Laboratory
  • La Plata, MD
  • NPI 1801461926
  NPD
• Orthopedic & Sports Physical Therapy

  • Physical Therapist
  • White Plains, MD
  • NPI 1003031923
  NPD (past)

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1225212806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206460102",
            "telephone_number": "301-539-3807",
            "fax_number": "301-539-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 DRURY DR",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206462064",
            "telephone_number": "301-539-3807",
            "fax_number": "301-539-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "DAVID",
        "credential": "MPT, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-19",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warren Joseph Paul, LMT
• PC Counseling Services, LLC
• Edgar F Peithman, P.A.
• Deborah Ruth Pence
• Peterson Physical Therapy LLC
• Susan Peterson, PT
• Abby Pherson, LCPC
• Kerry Erin Pinkham, FNP-BC
• Usman Ghani Piracha, MD
• Heather Lynn Pirl, MS CCC-SLP

• Physical Therapist in La Plata, MD
• Providers in La Plata, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.