Maddison Paige Peterson

Individual provider Active NPI Occupational Therapist · Bridgeport, NE

NPI 1669715934 · NPPES record last updated May 12, 2025

Key facts

NPI
1669715934
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
901043 (NE)
Practice address
1313 S St
Bridgeport, NE 69336-2563
Phone
(308) 262-1600
NPI assigned
Apr 4, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
901043NEMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 901043 NE Yes

Addresses

Primary practice location

1313 S St
Bridgeport, NE 69336-2563

Mailing address

1313 S St
Bridgeport, NE 69336-2563

Other providers in Bridgeport, NE

All providers in Bridgeport, NE · Occupational Therapist in Nebraska

Sources for this page

Verify at the official NPI Registry.