NPIMap

Organization Active NPI

Peterson Therapy Services LLC

  • Physical Therapist
  • Wayne, NE
National Provider Identifier
1497925556
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
687 Issued in NE
Legal business name
PETERSON THERAPY SERVICES LLC
Practice address
208 N. Main St.
Wayne, NE 68787
Phone
(402) 833-5343
Fax
(402) 833-5349
NPI assigned
Mar 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Mrs. Diane K. Peterson, P.T.
Title
Physical Therapist
Phone
(402) 833-5343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 687 NE Primary

Addresses

Primary practice location

208 N. Main St.
Wayne, NE 68787

Mailing address

208 N. Main St.
Wayne, NE 68787
Phone (402) 833-5343

National Provider Directory

National Provider Directory

Locations

208 Main St
Wayne, NE 68787
Phone (402) 369-3976

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1497925556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 N. MAIN ST.",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "68787",
            "telephone_number": "402-833-5343",
            "fax_number": "402-833-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N. MAIN ST.",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "68787",
            "telephone_number": "402-833-5343",
            "fax_number": "402-833-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSON THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "402-833-5343",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.