Nicholas Peters, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15529 Issued in WI

Practice address

900 E Grant St
Appleton, WI 54911-3487

Phone

(920) 750-5200

NPI assigned

Aug 3, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: npeters308393@direct.thedacare.org

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1831863976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N302 CANDLELITE WAY",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549158730",
            "telephone_number": "920-419-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E GRANT ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549113487",
            "telephone_number": "920-750-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "NICHOLAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Penoske, EP-C
• Rene Perales, MSW
• Dustin Perkins, APSW
• Matthew Evan Persick
• Peter John Jacques
• Shirley Marie Petersen, LPN
• Anna Peterson Sanders, PHARM.D.
• Ashley M Peterson, LPC
• Brynn Peterson, RDH
• Emily Peterson, OTR

• Physical Therapist in Appleton, WI
• Providers in Appleton, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.