Shawna Jone Peterson, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT 25162 Issued in FL

Practice address

18001 Old Cutler Rd
Suite 354
Palmetto Bay, FL 33157-6422

Phone

(305) 251-7477

NPI assigned

Apr 12, 2010

Last updated

Apr 12, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Shawna Jone Peterson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healis Rehabilitation Center

  dba The Children's Clinic

  • Rehabilitation Clinic/Center
  • Village of Palmetto Bay, FL
  • NPI 1326022823
  NPD (past)

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271030400000",
    "number": "1871819185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 SW 30TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18001 OLD CUTLER RD",
            "address_2": "SUITE 354",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331576422",
            "telephone_number": "305-251-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "SHAWNA",
        "middle_name": "JONE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "PT 25162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWNA",
            "last_name": "PETERSON",
            "middle_name": "JONE",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Erika Perez
• Maryerey M Perez, BEHAVIOR TECHNICIAN
• Rebecca Aleida Perez
• Xiomara Perez, CBHCM-P
• Yanet Perez
• Petraeus Billing Services
• Physical Therapy Now Palmetto Bay LLC (Physical Therapy Now Palmetto Bay)
• Physician Management Partners LLC
• Physician Wound Associates, LLC
• Physicians Care Partner

• Specialist in Palmetto Bay, FL
• Providers in Palmetto Bay, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.