Drew D Petersen, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1751 Issued in SD

Practice address

1100 4TH Ave E
Mobridge, SD 57601-1404

Phone

(605) 848-7201

NPI assigned

Nov 3, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

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 SD

Enrollment records 1

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.

• Hands on Health, Inc.

  • Physical Therapist
  • Lemmon, SD
  • NPI 1821061847
  Medicare reassignment NPD Authorized official
• Hands on Health, Inc.

  • Physical Therapist
  • Elgin, ND
  • NPI 1255661229
  NPD

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1992217590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 4TH AVE E",
            "city": "MOBRIDGE",
            "state": "SD",
            "postal_code": "576011404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 4TH AVE E",
            "city": "MOBRIDGE",
            "state": "SD",
            "postal_code": "576011404",
            "telephone_number": "605-848-7201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 4th Ave E",
            "address_purpose": "LOCATION",
            "city": "Mobridge",
            "state": "SD",
            "postal_code": "576011404",
            "country_code": "US",
            "telephone_number": "605-848-7201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "DREW",
        "middle_name": "D",
        "credential": "PT,DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney M Nicholson
• Maranda Obritsch
• Heather Olson, PA-C
• John Charles Olson, O.D.
• Jennifer Ashley-Marie Pepin, RD, LDN
• Todd Salfrank, CNP
• Matthew Jacob Schaffer, D.O.
• Shadow Anesthesia Services, LLC
• Alfred T Smith, MSW, CSAC-II
• Support Circle Inc (The Support Circle, INC)

• Physical Therapist in Mobridge, SD
• Providers in Mobridge, SD by specialty
• Physical Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.