Individual provider Active NPI

Stephanie Veronica Peter, PT, DPT

  • Physical Therapist
  • Mentor, OH
National Provider Identifier
1396576450
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT021261 Issued in OH
Practice address
8358 Munson Rd Ste 105
Mentor, OH 44060-2452
Phone
(440) 255-2009
NPI assigned
Aug 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP051789T CO
Physical Therapist 225100000X PT021261 OH Primary

Addresses

Primary practice location

8358 Munson Rd Ste 105
Mentor, OH 44060-2452

Mailing address

8401 Kirtland Chardon Rd
Kirtland, OH 44094-8607
Phone (440) 478-1038

Other practice location 1

3880 Grant Ave Ste 100
Loveland, CO 80538-8433
Phone (970) 663-7780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260129000758 CO Practitioner - Physical Therapist in Private Practice 7315425667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, 530 clinicians

Practice addresses (Care Compare)

3880 Grant Ave
Suite 100
Loveland, CO 80538-8433
Phone (970) 663-7780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP051789TCOMDPhysical Therapist
PT021261OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy of West Denver Limited Partnership CurrentSince Jan 5, 2026 Accepting new patients
Select Physical Therapy of West Denver Limited Partnership CurrentSince Jan 5, 2026 Accepting new patients
Novacare Rehabilitation of Ohio Inc PastSince Aug 18, 2024 Accepting new patients

Locations

375 E Horsetooth Rd
Ste 104
Fort Collins, CO 80525
Phone (970) 286-2868

838 W Drake Rd
Ste 105
Fort Collins, CO 80526
Phone (970) 294-4197

4617 W 20th St
Unit A
Greeley, CO 80634
Phone (970) 352-9022

2964 Ginnala Dr
Loveland, CO 80538
Phone (970) 663-6998

3880 Grant Ave
Ste 100
Loveland, CO 80538
Phone (970) 663-7780

8601 Turnpike Dr
Ste 204
Westminster, CO 80031
Phone (570) 417-7622

1230 W Ash St
Unit A
Windsor, CO 80550
Phone (970) 561-7111

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1396576450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 KIRTLAND CHARDON RD",
            "city": "KIRTLAND",
            "state": "OH",
            "postal_code": "440948607",
            "telephone_number": "440-478-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8358 MUNSON RD STE 105",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440602452",
            "telephone_number": "440-255-2009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3880 Grant Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805388433",
            "country_code": "US",
            "telephone_number": "970-663-7780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETER",
        "first_name": "STEPHANIE",
        "middle_name": "VERONICA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CP051789T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT021261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.