Chris L Petersen, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2589 Issued in NE

Practice address

1439 E 23Rd St
CP Physical Therapy, P.C.
Fremont, NE 68025-2433

Phone

(402) 727-1030

Fax

(402) 727-4215

NPI assigned

Aug 9, 2007

Sex

Male

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 2

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• CP Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Fremont, NE
  • NPI 1598112724

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Community Rehab LLC

  • Physical Therapist
  • South Sioux City, NE
  • NPI 1932218773
  NPD (past)

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1407047822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 E 23RD ST",
            "address_2": "CP PHYSICAL THERAPY, P.C.",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252433",
            "telephone_number": "402-727-1030",
            "fax_number": "402-727-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 E 23RD ST",
            "address_2": "CP PHYSICAL THERAPY, P.C.",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252433",
            "telephone_number": "402-727-1030",
            "fax_number": "402-727-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "CHRIS",
        "middle_name": "L",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-09",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "02393",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00424755",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heath Penny, CRNA
• Tina Pensyl
• Laura Perez Lewis
• Benjamin Lee Peters, DDS
• Nancy Peters
• Catherine Peterson
• Lori Masrgaret Peterson
• Rashelle Marcene Peterson
• Terry Peterson
• Gary Leon Pettitt

• Physical Therapist in Fremont, NE
• Providers in Fremont, 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 19, 2016; 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.