Judith R. Peterson, M.D., P.C.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

5238 Issued in SD

Legal business name

JUDITH R. PETERSON, M.D., P.C.

Practice address

5023 S Bur Oak PL
Sioux Falls, SD 57108-2228

Phone

(160) 536-1394

Fax

(160) 536-1212

NPI assigned

Jun 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Judith R. Peterson, M.D.

Title

Physician

Phone

(605) 361-3945

Specialties & licenses 1

Addresses

Other names 1

• SoDak Rehab Doing business as

Locations

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497952162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5023 S BUR OAK PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082228",
            "telephone_number": "160-536-1394",
            "fax_number": "160-536-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5023 S BUR OAK PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082228",
            "telephone_number": "160-536-1394",
            "fax_number": "160-536-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH R. PETERSON, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "16053613945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SD",
            "license": "5238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SoDak Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joyful Communication
• Jshay Enterprises LLC
• Brian Alan Juber, MD
• Nara Tashjian Judd, MD, MBA
• Judith a. Henderson, Inc.
• Cameron Jueden, DPT
• Robert Mark Juenemann, PHARMD
• Shaymous Juhnke, PHARM.D.
• Bigabo Jules
• Jodi Kay Julius, NP-C

• Physical Medicine & Rehabilitation Physician in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Physical Medicine & Rehabilitation Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.