Julie Anne Peterson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2020 Issued in NE

Practice address

7205 W Center Rd
101
Omaha, NE 68124-2380

Phone

(402) 390-1027

Fax

(402) 390-1037

NPI assigned

Aug 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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Creighton UniversityGroup PAC ID 4284527508, 11 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Creighton University

  • Physical Therapist
  • Omaha, NE
  • NPI 1780172304
  Medicare reassignment Care Compare group
• Peterson Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Omaha, NE
  • NPI 1194854372

  Physical Therapist

  NPD (past) Authorized official
• Creighton University

  • Clinic Pharmacy
  • Omaha, NE
  • NPI 1477547347
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1356451561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 NICHOLAS ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681321434",
            "telephone_number": "402-498-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 W CENTER RD",
            "address_2": "101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242380",
            "telephone_number": "402-390-1027",
            "fax_number": "402-390-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JULIE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100251951-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desiree Peterson
• Jane Peterson, LMHP
• John C Peterson, MD
• John W Peterson, MD
• Julie Peterson
• Kathleen Sue Peterson
• Kathrine L Peterson
• Kelli A Peterson, M.D.
• Kevin Richard Peterson, PHARMD RPH
• Landon Peterson, DDS

• Physical Therapist in Omaha, NE
• Providers in Omaha, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.