Haeley Brooke Petersen, PT, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

3374 Issued in NE

Practice address

5930 Vandervoort Dr
Suite a
Lincoln, NE 68516-2391

Phone

(402) 420-2099

NPI assigned

Jul 31, 2014

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)

Not enrolled

Practice roles

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.

• Children'S Specialty Physician Billing

  • Pediatric Nurse Practitioner
  • Omaha, NE
  • NPI 1013040369
  NPD (past)

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1932517141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 W GARFIELD ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685224449",
            "telephone_number": "402-380-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 VANDERVOORT DR",
            "address_2": "SUITE A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685162391",
            "telephone_number": "402-420-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "HAELEY",
        "middle_name": "BROOKE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NE",
            "license": "3374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Petersen
• Ashley E Petersen, PA-C
• Benjamin Brian Petersen, D.P.T.
• Dana D Petersen, PAC
• Emalie Petersen, RN
• Jaclyn Petersen, MA
• Jacob F Petersen
• Jennifer Suzanne Petersen, RN, IBCLC
• Lindsey Petersen
• Malinda Lee Petersen

• Pediatric Physical Therapist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Pediatric Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.