Eathyn Peterson, DC, ATC
Individual provider Active NPI Chiropractor · Peoria, AZ
NPI 1376945360 · NPPES record last updated Sep 19, 2024
Key facts
- NPI
- 1376945360
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 9389 (AZ)
- Practice address
- 24700 N 67TH Ave
Peoria, AZ 85383-4250 - Phone
- (623) 259-3458
- NPI assigned
- Sep 22, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Afc of Surprise, PLLC
Afc of Peoria PLLC
Practice addresses (Care Compare)
14239 W Bell Rd
Suite 108
Surprise, AZ 85374-2470
Phone (623) 248-4283
15256 N 75TH Ave
Suite 360
Peoria, AZ 85381-4761
Phone (623) 486-2424
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241014004109 | AZ | Practitioner - Chiropractic | 5991154130 | Reassigns benefits to 10 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Afc of East Mesa, PLLC | Current |
Accepting new patients | |
| Afc of Phoenix, PLLC | Current |
Accepting new patients | |
| Afc Physical Medicine of San Tan Valley, PLLC | Current |
Accepting new patients | |
| Afc Physical Medicine of Gilbert, PLLC | Current |
Accepting new patients | |
| Afc of Surprise, PLLC | Current |
Accepting new patients | |
| Afc Physical Medicine of Mesa, PLLC | Current |
Accepting new patients | |
| Afc of Tempe PLLC | Current |
Accepting new patients | |
| Afc of Peoria, PLLC | Current |
Accepting new patients | |
| Afc Physical Medicine of Desert Ridge,PLLC | Current |
Accepting new patients | |
| Life Clinic of Az PC | Chiropractor | Current |
Accepting new patients |
Locations
3011 S Lindsay Rd
Ste 101
Gilbert, AZ 85295
Phone (480) 726-2500
3130 E Baseline Rd
Ste 107
Mesa, AZ 85204
Phone (480) 345-1980
2919 S Ellsworth Rd
Ste 111
Mesa, AZ 85212
Phone (480) 564-1185
1839 S Alma School Rd
Mesa, AZ 85210
Phone (708) 612-1170
1839 S Alma School Rd
Ste 354
Mesa, AZ 85210
24700 N 67th Ave
Peoria, AZ 85383
Phone (520) 331-7513
15256 N 75th Ave
Ste 360
Peoria, AZ 85381
Phone (623) 412-1259
1277 E Missouri Ave
Ste 101
Phoenix, AZ 85014
Phone (602) 296-4060
20860 N Tatum Blvd
Ste 290
Phoenix, AZ 85050
Phone (480) 563-1144
2580 E Camelback Rd
Phoenix, AZ 85016
Phone (623) 244-3158
270 E Hunt Hwy
Ste A2
San Tan Vly, AZ 85143
Phone (480) 882-2222
14239 W Bell Rd
Ste 108
Surprise, AZ 85374
Phone (623) 248-4283
2145 E Warner Rd
Ste 104
Tempe, AZ 85284
Phone (480) 644-9443
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | UT | ||
| Chiropractor | 111N00000X | 9389 | AZ | Yes |
Addresses
Primary practice location
24700 N 67TH Ave
Peoria, AZ 85383-4250
Mailing address
26127 N 121St Ave
Peoria, AZ 85383-5801
Phone (406) 925-3844
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.