NPIMap

Organization Active NPI

Peterson Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Omaha, NE
National Provider Identifier
1568617249
Registry record updated Nov 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2020 Issued in NE
Legal business name
PETERSON PHYSICAL THERAPY, PC
Practice address
7205 W Center Rd
#101
Omaha, NE 68124-2380
Phone
(402) 390-1027
Fax
(402) 390-1037
NPI assigned
Nov 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2008

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

Authorized official

Name
Dr. Julie Anne Peterson, D.P.T.
Title
President
Phone
(402) 390-1027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2020 NE Primary

Addresses

Primary practice location

7205 W Center Rd
#101
Omaha, NE 68124-2380

Mailing address

7205 W Center Rd
#101
Omaha, NE 68124-2380
Phone (402) 390-1027

National Provider Directory

National Provider Directory

Locations

7205 W Center Rd
Ste 101
Omaha, NE 68124
Phone (402) 390-1027

2430 S 73rd St
Ste 100
Omaha, NE 68124
Phone (402) 390-1027

105 S 90th St
Ste 200
Omaha, NE 68114
Phone (402) 390-1027

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": "1227398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227398400000",
    "number": "1568617249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 W CENTER RD",
            "address_2": "#101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242380",
            "telephone_number": "402-390-1027",
            "fax_number": "402-390-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 W CENTER RD",
            "address_2": "#101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242380",
            "telephone_number": "402-390-1027",
            "fax_number": "402-390-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSON PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-23",
        "last_updated": "2008-11-23",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-390-1027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NE",
            "license": "2020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.