Paula L Peterson, PT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT000000871 Issued in TN

Practice address

3525 Keith Street NW
Suite M
Cleveland, TN 37312-4354

Phone

(423) 479-7800

Fax

(423) 479-2849

NPI assigned

Jul 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Bradley Rehabilitation Center, Inc.

  • Occupational Therapist
  • Cleveland, TN
  • NPI 1205865474

  Physical Therapist

  NPD (past)
• Professional Therapy Services of Tennessee, LLC

  • Physical Therapy Clinic/Center
  • Soddy Daisy, TN
  • NPI 1972564771
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250640000000",
    "number": "1972538619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 KEITH ST NW",
            "address_2": "SUITE M",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124354",
            "telephone_number": "423-479-7800",
            "fax_number": "423-479-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 KEITH STREET NW",
            "address_2": "SUITE M",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124354",
            "telephone_number": "423-479-7800",
            "fax_number": "423-479-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "PAULA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2009-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT871",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "PT000000871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Runion Perry, RN, IBCLC
• Melissa Pestlin
• Kristal Ann Peters, BT
• Karen Aguilar Petersen
• Blake Allen Peterson, OD
• Phyllis Lee Peterson, PT CHT
• Walter F Peterson, OD
• Pharmacy Home Care of East Tennessee, Inc (Pharmacy Home Care of East Tennessee)
• Pharmacy Home Delivery LLC (PHD LLC)
• Pharmco (Mouse Creek Pharmacy)

• Physical Medicine & Rehabilitation Physician in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Physical Medicine & Rehabilitation Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; 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.