Individual provider Active NPI

Caroline Peterson

  • Physician Assistant
  • Arlington, TX
National Provider Identifier
1508705161
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3533 Matlock Rd
Arlington, TX 76015-3604
Phone
(817) 419-0303
NPI assigned
Mar 27, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

3533 Matlock Rd
Arlington, TX 76015-3604

Mailing address

11200 SW 8TH St Miami FL 33199
Miami, FL 33199-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260518000809 TX Practitioner - Physician Assistant 8527537711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

300 S Pecan St
Apt 315
Fort Worth, TX 76102

3533 Matlock Rd
Arlington, TX 76015-3604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tmi Sports Medicine and Orthopedic Surgery PA CurrentSince May 1, 2026 Accepting new patients
Tmi Sports Medicine and Orthopedic Surgery PA CurrentSince May 1, 2026 Accepting new patients

Locations

3533 Matlock Rd
Arlington, TX 76015
Phone (817) 419-0303

76 Regency Pkwy
Mansfield, TX 76063
Phone (817) 419-0303

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1774569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1508705161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 SW 8TH ST MIAMI FL 33199",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331990001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 MATLOCK RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153604",
            "telephone_number": "817-419-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CAROLINE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-03-27",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.