Victor M Peterson, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH2919 Issued in AL

Practice address

1784 Elkahatchee Rd
Alexander City, AL 35010-4800

Phone

(256) 234-0592

Fax

(256) 234-7014

NPI assigned

Jun 27, 2006

Last updated

Aug 30, 2012By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Champion Rehab Resources, LLC

  • Physical Therapist
  • Vestavia, AL
  • NPI 1003437906
  NPD (past)
• Therapy Resources,LLC

  • Physical Therapist
  • Gadsden, AL
  • NPI 1639289812
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1346277035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1784 ELKAHATCHEE RD",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350104800",
            "telephone_number": "256-234-0592",
            "fax_number": "256-234-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1784 ELKAHATCHEE RD",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350104800",
            "telephone_number": "256-234-0592",
            "fax_number": "256-234-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "VICTOR",
        "middle_name": "M",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH2919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "515-28766",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "#77553",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wanda Michelle Patterson, CRNP
• Paul's Drug Center Inc.
• Jamie Howard Peavy, CRNP
• Pediatric Associates of Alexander City PC
• Phyllis A Pemberton, CRNA
• Physicians Choice Dialysis of Alexander City, LLC
• Wesley Pinto, MMS, PA
• James Howard Poole, O.D.
• Pricare Advantage LLC
• Pricare, PA

• Physical Therapist in Alexander City, AL
• Providers in Alexander City, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.