Individual provider Active NPI

Aimee Catherine Peterson, OTRL

  • Occupational Therapist
  • Cornelius, NC
National Provider Identifier
1952444101
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3388 Issued in NC
Practice address
19114 Kanawha Dr
Cornelius, NC 28031-9394
Phone
(832) 451-0660
Fax
(980) 206-0111
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 102825 MN
Occupational Therapist 225X00000X 3388 NC Primary

Addresses

Primary practice location

19114 Kanawha Dr
Cornelius, NC 28031-9394

Mailing address

19114 Kanawha Dr
Cornelius, NC 28031-9394
Phone (832) 451-0660

Other identifiers 5

IdentifierTypeStateIssuer
1952444101MedicaidNC
055588600MedicaidMN
961S7KEOtherMNBCBS
HP42429OtherMNHEALTH PARTNERS
6403492OtherMNMEDICA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3388NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Therapy Center, Inc Occupational Therapist PastSince Nov 15, 2015 Accepting new patients
Children'S Therapy Ctr, Inc Past Accepting new patients
Family First Physical Therapy L.L.C. Occupational Therapist PastSince May 7, 2024 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1952444101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19114 KANAWHA DR",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280319394",
            "telephone_number": "832-451-0660",
            "fax_number": "980-206-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19114 KANAWHA DR",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280319394",
            "telephone_number": "832-451-0660",
            "fax_number": "980-206-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "AIMEE",
        "middle_name": "CATHERINE",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "102825",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "3388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952444101",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055588600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "961S7KE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP42429",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "6403492",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.