Kiera Petersen, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

7879 Issued in TN

Practice address

1345 Island Town Dr
Memphis, TN 38103-9027

Phone

(801) 759-4821

NPI assigned

Jun 28, 2024

Last updated

Jun 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 TN

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aegis Group Practice LLCGroup PAC ID 5193036432, 399 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Aegis Group Practice LLC

  • Physical Therapist
  • Germantown, TN
  • NPI 1174308647

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Empowered Pain Care PLLC

  • Occupational Therapist
  • Memphis, TN
  • NPI 1538071394
  Authorized official Same address or phone
• Aegis Group Practice LLC

  • Physical Therapist
  • Memphis, TN
  • NPI 1508641069

  Occupational Therapist

  NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Indian Harbour Beach, FL
  • NPI 1932072030

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1982449245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 ISLAND TOWN DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381039027",
            "telephone_number": "801-759-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 ISLAND TOWN DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381039027",
            "telephone_number": "801-759-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "KIERA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "7879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Peters, PHARMD
• Diane Kaufman Peters, FNP
• Elnora Peters, LPC-MHSP
• Emily Paige Peters, NP
• Mark H Peters, M.D.
• Alexandria Nicole Peterson, DPT
• April Linnett Peterson, PHARMD
• Casey Crump Peterson, NP-C
• Hannah Peterson, PHARMD
• Lori Peterson

• Occupational Therapist in Memphis, TN
• Providers in Memphis, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.