Peterson Mobility

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PETERSON MOBILITY

Practice address

103 1St St
Suite B
Kingston, TN 37763-2712

Phone

(865) 621-9663

NPI assigned

Sep 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Peterson

Title

Ceo Owner

Phone

(865) 621-9663

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376647446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 1ST ST",
            "address_2": "SUITE B",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377632712",
            "telephone_number": "865-621-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 1ST ST",
            "address_2": "SUITE B",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377632712",
            "telephone_number": "865-621-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSON MOBILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "865-621-9663"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Franks Overton, MA CCC-SLP
• Nancy M Owings, D.PH.
• Robert Sharpley Parker III, O.D.
• Hope Pavel
• Dawn Payne
• Constance V Peterson, PT
• Barbara Ann Phillips, LADAC II, CAMS II
• Tammie Pierce, PTA
• Marta Yanes Piper, PHARMD
• Sierra Alexandria Poland, HHA

• Durable Medical Equipment & Medical Supplies in Kingston, TN
• Providers in Kingston, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.