Nicholas L Peterson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17088 Issued in CO

Practice address

6420 County Road 335 Unit B
New Castle, CO 81647-9691

Phone

(401) 213-9842

NPI assigned

Jun 4, 2015

Last updated

Aug 13, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Castle Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • New Castle, CO
  • NPI 1184242554
  NPD Authorized official

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1619357696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 COUNTY ROAD 335 UNIT B",
            "city": "NEW CASTLE",
            "state": "CO",
            "postal_code": "816479691",
            "telephone_number": "401-213-9842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 COUNTY ROAD 335 UNIT B",
            "city": "NEW CASTLE",
            "state": "CO",
            "postal_code": "816479691",
            "telephone_number": "401-213-9842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "NICHOLAS",
        "middle_name": "L",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-04",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "17088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Castle Family Health PC
• New Castle Physical Therapy, LLC
• Rachael Newman, MA
• Esmeralda Osorio-Portillo, LSW
• Palisade Neuro Associates
• Barbara Ann Phillips, M.D.
• Kelsey Quam, DPT
• Sandi Rickert, RN
• Tasha Jean Rischmiller, LPCC
• Roaring Fork Home Care LLC

• Physical Therapist in New Castle, CO
• Providers in New Castle, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.