Active NPI
Maggie Christine Petersen, M.S., CCC-SLP
- Speech-Language Pathologist
- Sunrise, FL
National Provider Identifier
1831796507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 21269
- Practice address
- 3670 NW 83Rd LN
Sunrise, FL 33351-1132 - Phone
- (954) 243-4956
- NPI assigned
- Oct 6, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 21269 | FL | Primary |
| Speech-Language Assistant | 2355S0801X | 4576 | FL |
Addresses
Primary practice location
3670 NW 83Rd LN
Sunrise, FL 33351-1132
Mailing address
3670 NW 83Rd LN
Sunrise, FL 33351-1132
Phone (954) 243-4956
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4576 | FL | MD | Psychoanalysis Psychologist |
| 21269 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759449600000",
"number": "1831796507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3670 NW 83RD LN",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333511132",
"telephone_number": "954-243-4956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3670 NW 83RD LN",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333511132",
"telephone_number": "954-243-4956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSEN",
"first_name": "MAGGIE",
"middle_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-06",
"last_updated": "2025-10-03",
"certification_date": "2025-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "21269",
"primary": true
},
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "FL",
"license": "4576",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.