Claire Barbara Petersen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

012355 Issued in NY

Practice address

821 Cliff St
Ithaca, NY 14850-2097

Phone

(607) 256-9355

Fax

(607) 275-9355

NPI assigned

Apr 17, 2013

Last updated

Feb 23, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Thrive Chiropractic of Cny, PLLC

  • Chiropractor
  • Liverpool, NY
  • NPI 1437032182
  NPD Authorized official

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519344000000",
    "number": "1891139135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 W TAFT RD",
            "address_2": "STE B1",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884975",
            "telephone_number": "315-452-9420",
            "fax_number": "315-452-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 CLIFF ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148502097",
            "telephone_number": "607-256-9355",
            "fax_number": "607-275-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "CLAIRE",
        "middle_name": "BARBARA",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-17",
        "last_updated": "2018-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Schwartz, MD, PLLC
• Pamela Peterman, RN
• Brianna Peters, PT, DPT
• Katie Peters
• Kerry P Peters, PT
• Betsy L Peterson, DMD
• Ellen Peterson, LCSW
• Patricia Emmerling Peterson
• Rachel M Peterson, RN
• Kim Marie Petrillo, REG PROF. NURSE

• Chiropractor in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.