Barbara A Peterson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070005259 Issued in IL

Practice address

1225 N 6TH St
Princeton, IL 61356-9507

Phone

(815) 875-2348

Fax

(815) 875-2334

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Lifefit Physical Rehab, LTD.

  • Physical Therapy Clinic/Center
  • Princeton, IL
  • NPI 1306014196
  Medicare reassignment Authorized official
• Kewanee Physical Therapy and Rehab Specialists LLC

  • Occupational Therapist
  • Kewanee, IL
  • NPI 1629081906

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241568000000",
    "number": "1497770663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 N 6TH ST",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613569507",
            "telephone_number": "815-875-2348",
            "fax_number": "815-875-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 N 6TH ST",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613569507",
            "telephone_number": "815-875-2348",
            "fax_number": "815-875-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "BARBARA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2009-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070005259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shitaldas Jamandas Pamnani, M.D.
• Ketan Patel, MD
• Cindy Penzenik, PT
• Petersen Companies, LLC
• Lara Jean Petersen
• PHCH, LLC
• Jennifer Phillips, RPH
• Alison Pienta, LMT
• Ahlyssa Pinter, LCSW
• Play It Forward Counseling LLC

• Physical Therapist in Princeton, IL
• Providers in Princeton, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.