Elena J. Petersen, PT, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

8935 Issued in AZ

Practice address

2935 S Recker Rd
Attn: Sped
Gilbert, AZ 85295-7846

Phone

(480) 279-7059

NPI assigned

Sep 24, 2010

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

Other names 1

• Elena Isaac Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

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.

• Heartland Therapy, Inc.

  • Home Health Agency
  • Mesa, AZ
  • NPI 1962552547
  Medicare reassignment NPD
• Theracare PLLC

  • Occupational Therapist
  • Peoria, AZ
  • NPI 1962784249

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1861701807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 S RECKER RD",
            "address_2": "ATTN: SPED",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852957846",
            "telephone_number": "480-279-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 S RECKER RD",
            "address_2": "ATTN: SPED",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852957846",
            "telephone_number": "480-279-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "ELENA",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AZ",
            "license": "8935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELENA",
            "last_name": "ISAAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Roselyn Jessica Peter, SLPA
• Danae Peters, RBT
• Daniel Peters, PA-C
• Lindsay Peters, TATTOO ARTIST
• Andrew Petersen, D.D.S
• Sarah Amy Petersen, LM
• Brad Michael Peterson, CRNA
• Donna Lee Peterson, M.SC. SLP
• Jonathan J Peterson, DC
• Leila King Peterson, M.D.

• Pediatric Physical Therapist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Pediatric Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.