Active NPI
Heidi Peterson, OT
- Occupational Therapist
- Stevens Point, WI
National Provider Identifier
1831528702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5403-26
- Practice address
- 5412 US Highway 10 E
Stevens Point, WI 54482-8559 - Phone
- (715) 346-5243
- Fax
- (715) 346-5419
- NPI assigned
- Nov 1, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5403-26 | WI | Primary |
Addresses
Primary practice location
5412 US Highway 10 E
Stevens Point, WI 54482-8559
Mailing address
5412 US Highway 10 E
Stevens Point, WI 54482-8559
Phone (715) 346-5243
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5403-26 | Other | WI | WI STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5403-26 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383264000000",
"number": "1831528702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5412 US HIGHWAY 10 E",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544828559",
"telephone_number": "715-346-5243",
"fax_number": "715-346-5419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5412 US HIGHWAY 10 E",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544828559",
"telephone_number": "715-346-5243",
"fax_number": "715-346-5419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "HEIDI",
"name_prefix": "Ms.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-01",
"last_updated": "2013-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "5403-26",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WI STATE LICENSE",
"identifier": "5403-26",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stevens Point, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.