Organization Active NPI

Peterson Rehabilitation Inc

  • Physical Therapist
  • West Palm Beach, FL
National Provider Identifier
1679584866
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT8041 Issued in FL
Legal business name
PETERSON REHABILITATION INC
Practice address
5912 Okeechobee Blvd
West Palm Beach, FL 33417-4324
Phone
(561) 697-8800
Fax
(561) 697-3372
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Arthur Peterson, PT, PHD
Title
Ceo
Phone
(561) 697-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT8041 FL Primary

Addresses

Primary practice location

5912 Okeechobee Blvd
West Palm Beach, FL 33417-4324

Mailing address

5912 Okeechobee Blvd
West Palm Beach, FL 33417-4324
Phone (561) 697-8800

Other identifiers 1

IdentifierTypeStateIssuer
K1469OtherFLMEDICARE GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

5912 Okeechobee Blvd
West Palm Beach, FL 33417
Phone (561) 697-8800

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": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679584866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5912 OKEECHOBEE BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334174324",
            "telephone_number": "561-697-8800",
            "fax_number": "561-697-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5912 OKEECHOBEE BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334174324",
            "telephone_number": "561-697-8800",
            "fax_number": "561-697-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSON REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-697-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, PHD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT8041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "K1469",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.