Barbara Jacqueline Petersen, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

0930 Issued in OR

Practice address

290 Moyer LN NW
Salem, OR 97304-3822

Phone

(503) 370-8990

Fax

(503) 363-4214

NPI assigned

Dec 14, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. BJ Petersen Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Easter Seals Oregon

  • Rehabilitation Clinic/Center
  • Salem, OR
  • NPI 1922072487
  NPD (past)
• Easter Seals Oregon Children'S Therapy Center

  • Community/Behavioral Health Agency
  • Salem, OR
  • NPI 1720315120
  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1467437244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 GRAYHAWK CT NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973043414",
            "telephone_number": "503-399-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 MOYER LN NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973043822",
            "telephone_number": "503-370-8990",
            "fax_number": "503-363-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "BARBARA",
        "middle_name": "JACQUELINE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "OR",
            "license": "0930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BJ",
            "last_name": "PETERSEN",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Connee Lea Peters Reau, LPC
• Lisa Rene Peters, NP-C
• Rachel Peters
• Theresa Louise Peters, LCSW
• Jordan Peterschmidt, DMD
• Chris Albert Petersen, PAC
• Rocio Petersen, MS, RDN
• Savanah Danielle Marie Petersen, MSW
• Peterson Chiropractic Clinic
• Abigail Quinn Lindsey Peterson, CPM

• Pediatric Physical Therapist in Salem, OR
• Providers in Salem, OR by specialty
• Pediatric Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.