Michelle Amber Peterson, CTRS

Primary specialty

Recreation TherapistTaxonomy code 225800000X

Practice address

3461 Civic Center Blvd
Philadelphia, PA 19104-4302

Phone

(215) 823-4507

NPI assigned

Jan 28, 2026

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)

Not enrolled

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

{
    "created_epoch": "1769558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1801745153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 SUMMIT AVE",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463135",
            "telephone_number": "267-808-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 CIVIC CENTER BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044302",
            "telephone_number": "215-823-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "MICHELLE",
        "middle_name": "AMBER",
        "credential": "CTRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-28",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Peterson, M.D.
• Frederick J Peterson, CRNA
• James Timothy Peterson, MS, LCGC
• Joy Peterson
• Margaret Kim Peterson, PHD
• Nicholas Peterson, MD
• Nikia Peterson, LPN
• Ricky Karl Peterson, RN
• Rita Peterson, L.M.F.T., L.P.C.
• Ryan Francis Peterson, CPNP-AC

• All providers in Philadelphia, PA
• Recreation Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.