Active NPI
Christopher M Peterson, PT
- Physical Therapist
- Seymour, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17798
- Practice address
- 200 S Obrien St
Seymour, IN 47274-2440 - Phone
- (812) 522-9574
- Fax
- (812) 522-2576
- NPI assigned
- Sep 24, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3202 | NH | |
| Physical Therapist | 225100000X | 17798 | MA | Primary |
Addresses
Primary practice location
200 S Obrien St
Seymour, IN 47274-2440
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
238 Northampton Street
Easthampton, MA 01027-1057
Phone (413) 529-9300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.3 of 100
- Quality
- 88.48
- Improvement activities
- 40
- Cost
- 72.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17798 | MA | MD | General Practice Dentistry |
| 3202 | NH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Advanced Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579
200 S Obrien St
Seymour, IN 47274
Phone (812) 522-9574
Organizations & group practices 2
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.
-
- Physical Therapist
- Indianapolis, IN
- NPI 1316940505
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1700595089
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1376877290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S OBRIEN ST",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472742440",
"telephone_number": "812-522-9574",
"fax_number": "812-522-2576"
}
],
"practiceLocations": [
{
"address_1": "238 Northampton Street",
"address_purpose": "LOCATION",
"city": "Easthampton",
"state": "MA",
"postal_code": "010271057",
"country_code": "US",
"telephone_number": "413-529-9300",
"fax_number": "413-527-7517",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETERSON",
"first_name": "CHRISTOPHER",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-24",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "3202",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "17798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seymour, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.