David Samuel Peterson, D.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH4049 Issued in AL

Practice address

147 Castle Dr
Madison, AL 35758-8257

Phone

(256) 837-5425

Fax

(256) 837-2139

NPI assigned

Nov 1, 2006

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

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dynamic Performance Therapy and Rehabilitation, Inc

  • Physical Therapy Clinic/Center
  • Madison, AL
  • NPI 1669559944

  Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1801973276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 CASTLE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588257",
            "telephone_number": "256-837-5425",
            "fax_number": "256-837-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 CASTLE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588257",
            "telephone_number": "256-837-5425",
            "fax_number": "256-837-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "DAVID",
        "middle_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "D.P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH4049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Penot, MS
• Erin Elizabeth Percy, CRNP
• Nicole Perkins, LMFT
• Cynthia A Perry, COUNSELOR, MS
• Kathryn Anne Petersen, CRNP
• Debra E Peterson, P.T.
• Jake William Ryan Petraszewsky
• Paige Pettaway, PHARM. D
• Anthony Dwain Pettus Jr.
• Jeremy Petty

• Physical Therapist in Madison, AL
• Providers in Madison, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.