Alexandra Petersen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12487 Issued in TN

Practice address

348 Warfield Blvd Ste C&D
Clarksville, TN 37043-8904

Phone

(931) 906-4170

NPI assigned

Sep 30, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fall Fighters LLCGroup PAC ID 4789046350, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Fall Fighters, LLC

  • Physical Therapy Clinic/Center
  • Hermitage, TN
  • NPI 1245935881

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Premier Orthopaedics & Sports Medicine PLC

  • Orthopaedic Surgery Physician
  • Nashville, TN
  • NPI 1972577351

  Physical Therapist

  Medicare reassignment NPD
• Premier Orthopaedics & Sports Medicine, PLC

  • Durable Medical Equipment & Medical Supplies
  • Murfreesboro, TN
  • NPI 1861029084
  NPD
• Jami LLC

  • Physical Therapist
  • Old Hickory, TN
  • NPI 1689719312
  NPD (past)
• Star Physical Therapy LP

  • Rehabilitation Clinic/Center
  • Bolivar, TN
  • NPI 1417404351
  NPD (past)

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1629619788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080370",
            "telephone_number": "706-324-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 WARFIELD BLVD STE C&D",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438904",
            "telephone_number": "931-906-4170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Stonecrest Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "TN",
            "postal_code": "371676800",
            "country_code": "US",
            "telephone_number": "615-355-0533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "ALEXANDRA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q029723",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karnashia Person
• Abigale Marie Peszeki
• Ashley Peters, FNP
• Misty Dawn Peters
• Sheryl Lynn Peters, M.S.W.
• Muriel Petersheim
• Alexa Renee Peterson, DO
• Christine Louise Peterson, CNM, ARNP
• Damonei Timmia Peterson
• Helen Taylor Peterson, DC

• Physical Therapist in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.