Chad M Peterson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6767 Issued in MN

Practice address

823 Belknap St
Ste 104
Superior, WI 54880-2974

Phone

(715) 394-6355

Fax

(715) 394-2191

NPI assigned

Jul 7, 2005

Last updated

May 5, 2017By the provider in NPPES

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

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Muscle and Joint Therapy IncGroup PAC ID 1355433640, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Muscle & Joint Therapy Inc

  • Physical Therapist
  • Superior, WI
  • NPI 1558462432
  Medicare reassignment Care Compare group NPD
• Northern Arm & Hand Center, Inc.

  dba Turning Point Therapy

  • Hand Physical Therapist
  • Duluth, MN
  • NPI 1639274137
  NPD (past)
• Northern Arm & Hand Center, Inc.

  dba Turning Point Therapy

  • Prosthetic/Orthotic Supplier
  • Duluth, MN
  • NPI 1740311067
  NPD (past)
• The Duluth Clinic, LTD.

  dba Essentia Health Hinckley Pharmacy

  • Community/Retail Pharmacy
  • Hinckley, MN
  • NPI 1245081066
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1881692523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 BELKNAP ST",
            "address_2": "STE 104",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548802974",
            "telephone_number": "715-394-6355",
            "fax_number": "715-394-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 BELKNAP ST",
            "address_2": "STE 104",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548802974",
            "telephone_number": "715-394-6355",
            "fax_number": "715-394-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CHAD",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "6767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Industries LLC
• John Paul, PH.D., L.P.C.
• Angela Penney, LPC
• Celeste Pennington, LCSW
• Michele Denise Perron, PHD
• Christine Jo Peterson, MPT
• Sean Wiberg Peterson, MS LAT, ATC
• Steven Frank Peterson
• Kaelin Joy Petzel, RN
• Gina Pfingsten, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.