Donald Peterson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1102114 Issued in KS

Practice address

1503 Washington LN
Augusta, KS 67010-1638

Phone

(316) 775-0700

Fax

(316) 775-0730

NPI assigned

Aug 31, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• PT Plus, Inc.

  • Physical Therapy Clinic/Center
  • Augusta, KS
  • NPI 1457345829
  NPD (past)

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1780678193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1257 KS 99 HWY",
            "city": "EUREKA",
            "state": "KS",
            "postal_code": "67045",
            "telephone_number": "620-583-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 WASHINGTON LN",
            "city": "AUGUSTA",
            "state": "KS",
            "postal_code": "670101638",
            "telephone_number": "316-775-0700",
            "fax_number": "316-775-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "DONALD",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1102114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "140880",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERFERRED PLUS OF KANSAS",
            "identifier": "14295",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mallory Paradis, PHARMD
• Erica J Parente, CPHT
• Cheryl Parker, LBSW LAC
• Connie Patten
• Sidney Patten, DC
• Tina M. Plamondon
• Alia Porter, PA-C
• Kristine Marie Price
• PT Plus, Inc.
• Michael A Rausch, M.D.

• Physical Therapist in Augusta, KS
• Providers in Augusta, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.