MARY JANE PETERSEN (NPI# 1427614270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427614270 |
| Entity Type | Individual |
| Full Name | MARY JANE PETERSEN |
| Credential | PT |
| Practice Address |
710 Mound Ave Mankato MN 56001-1600 |
| Mailing Address |
60701 Millie Ln Eagle Lake MN 56024-4470 |
| Practice Telephone | 5073854300 |
| Mailing Telephone | 5079950308 |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2019-05-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 2088 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417306267 | Mary Petersen | Counselor | 13561 Lakes Way, Orlando, FL 32828-8154 | 2016-06-11 |
| 1710083084 | Mary Lorraine Petersen | Social Worker | 705 Hilltop Ct, Coram, NY 11727 | 2006-09-15 |
| 1629467048 | Mary Petersen | Social Worker | 1430 Wilkins Cir, Casper, WY 82601-1336 | 2015-01-22 |
| 1609176163 | Mary Janeen Petersen | Pharmacist | 4495 First St, Livermore, CA 94551-4915 | 2010-10-29 |
| 1063661916 | Mary Alice Petersen | Speech-Language Pathologist | 104 Stampede St, Newcastle, WY 82701-3037 | 2008-09-16 |
| 1003986068 | Mary Petersen | Social Worker | 58144 Gratiot Ave, New Haven, MI 48048 | 2006-11-08 |
| 1114938016 | Mary Elizabeth Petersen | Speech-Language Pathologist | 10701 East Blvd, Audiology and Speech Pathology 126 W, Cleveland, OH 44106-1702 | 2006-08-10 |
| Street Address |
710 MOUND AVE |
| City | MANKATO |
| State | MN |
| Zip Code | 56001-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| 1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
| 1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
| 1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
| 1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
| Find all providers in zip 56001 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083991558 | Jordan J Moen | Physical Therapist | 1400 Madison Ave Ste 100aa, Mankato, MN 56001-5465 | 2011-11-10 |
| 1275839656 | Lindsay Mae Dexter | Physical Therapist | 150 Saint Andrews Ct Ste 310, Mankato, MN 56001-8805 | 2011-02-02 |
| 1831424084 | Wendy Ann Carlson White | Physical Therapist | 150 St. Andres Court, Suite 310, Mankato, MN 56001 | 2009-10-06 |
| 1033243142 | Francanne M Etringer | Physical Therapist | 170 Good Counsel Dr, Mankato, MN 56001-3138 | 2007-03-14 |
| 1083685275 | Kimberly K Devine-johnson | Physical Therapist | 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2006-01-27 |
| 1912504390 | Ethan Brinkmann | Physical Therapist | 1522 N Riverfront Dr, Mankato, MN 56001-0459 | 2020-10-08 |
| 1609488121 | Jenna Green | Physical Therapist | 100 Dublin Rd, Mankato, MN 56001-8765 | 2020-08-17 |
| 1700446374 | Lindsey Marie Mork | Physical Therapist | 150 Saint Andrews Ct Ste 310, Mankato, MN 56001 | 2019-06-17 |
| 1407415334 | Matthew J Hastreiter | Physical Therapist | 1400 Madison Ave, Mankato, MN 56001-5473 | 2019-06-13 |
| 1154800886 | Travis Mattson | Physical Therapist | 1230 E Main St, Mankato, MN 56001-8001 | 2018-08-13 |
| Find all providers in MANKATO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.