Cynthia Sandquist Peterson, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-03673 Issued in KS

Practice address

6600 College Blvd
Overland Park, KS 66211-1520

Phone

(913) 451-7372

Fax

(913) 451-7375

NPI assigned

Oct 27, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mid America Balance Institute of Cass County Missouri

  • Respiratory/Developmental/Rehabilitative Specialist/Technologist
  • Belton, MO
  • NPI 1902050511
  NPD (past)
• Spine and Extremity Rehabilitation Center of Raytown Inc

  • Physical Therapist
  • Raytown, MO
  • NPI 1568410165
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1679659353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 COLLEGE BLVD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111520",
            "telephone_number": "913-451-7372",
            "fax_number": "913-451-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 COLLEGE BLVD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111520",
            "telephone_number": "913-451-7372",
            "fax_number": "913-451-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CYNTHIA",
        "middle_name": "SANDQUIST",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-03673",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2006038289",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "37719018",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christon Alexis Petersen, LPC
• Corrin Petersen, LMFT
• Hilary A Petersen, MD
• Shane Petersen
• Teresa Petersen, PT, MS, PCS
• Elizabeth Sorrells Peterson, MD
• Grace Katherine Peterson, LMLP-T
• Kayla Marie Peterson, MS-CCC-SLP
• Lori D Peterson
• Maggie Peterson, LMSW

• Physical Therapist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.