Lindsey Peterson, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

103817 Issued in MN

Practice address

2400 W 64TH St
Minneapolis, MN 55423

Phone

(612) 861-1688

NPI assigned

Nov 3, 2009

Sex

Female

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

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.

• Fraser

  • Rehabilitation Clinic/Center
  • Richfield, MN
  • NPI 1063568574
  NPD (past)
• Fraser Child and Family Center

  • Adolescent and Children Mental Health Clinic/Center
  • Minneapolis, MN
  • NPI 1609922194
  NPD (past)
• Metro Therapy Special Children'S Clinic, Inc

  • Occupational Therapist
  • Fridley, MN
  • NPI 1144587023
  NPD (past)
• Metro Therapy Special Children'S Clinic, Inc

  • Occupational Therapist
  • Fridley, MN
  • NPI 1376541243
  NPD (past)

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1689901217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 SILVERWOOD RD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551258663",
            "telephone_number": "701-799-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W 64TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55423",
            "telephone_number": "612-861-1688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5155 E River Rd",
            "address_2": "Suite 403",
            "address_purpose": "LOCATION",
            "city": "Fridley",
            "state": "MN",
            "postal_code": "554211025",
            "country_code": "US",
            "telephone_number": "763-572-2519",
            "fax_number": "763-572-2616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "LINDSEY",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-03",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "103817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Peterson
• Kevin A Peterson, MD
• Kevin P Peterson, MD
• Linda Jane Peterson, CRNA
• Linda Marie Peterson
• Louise Ballam Peterson
• Marie Elizabeth Peterson, M.D.
• Matthew D Peterson, L.AC., DIPL. OM
• Meghann Rose Peterson, LICSW
• Michelle D Peterson, DPT, NCS

• Occupational Therapist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.