MR. JAMES EDWARD PETTERS (NPI# 1629239470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629239470 |
Entity Type | Individual |
Full Name | MR. JAMES EDWARD PETTERS |
Credential | PT |
Practice Address |
13854 Riverview Drive Nw Elk River MN 55330-1626 |
Practice Telephone | 7632320818 |
Practice Fax Number | 7634410487 |
Mailing Telephone | 7632320818 |
Mailing Fax Number | 7634410487 |
Enumeration Date | 2008-06-24 |
Last Update Date | 2008-06-24 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
4410 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
13854 RIVERVIEW DRIVE NW |
City | ELK RIVER |
State | MN |
Zip Code | 55330-1626 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710504139 | Jacob Stevens | Pharmacist | 19216 Freeport Ave, Cub Pharmacy, Elk River, MN 55330 | 2020-07-01 |
1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
1346888609 | Katie Eberley | Counselor | 9425 Quantrelle Ave, Otsego, MN 55330 | 2019-12-18 |
1649839986 | Jodi Marie Pikula | Massage Therapist | 710 Dodge Ave, Suite C, Elk River, MN 55330 | 2019-06-11 |
1144793878 | Northern Cities Therapy, Inc. | Counselor | 19230 Evans St Nw Ste 100, Elk River, MN 55330 | 2019-01-04 |
1144715236 | Jennifer Kay Dahlseid | Chiropractor | 200 5th St Nw Ste J, Elk River, MN 55330 | 2018-06-29 |
1124542089 | Megan Majsterski Lazere | Counselor | 9245 Quantrelle Avenue, Otsego, MN 55330 | 2017-08-01 |
1134674237 | Rescare Minnesota | Community Based Residential Treatment Facility, Mental Illness | 633 Upland Ave Nw, Elk River, MN 55330 | 2016-08-18 |
1356894927 | Allison Benz | Counselor | 9245 Quantrelle Ave, Otsego, MN 55330 | 2016-07-29 |
1447615141 | Laura Stevenson | Speech-Language Pathologist | 15990 90th St., Otsego, MN 55330 | 2015-12-22 |
Find all providers in zip 55330 |
Taxonomy Code | 2251G0304X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Geriatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184102261 | Katherine Horn | Physical Therapist | 2746 Superior Dr Nw Ste 150, Rochester, MN 55901-8343 | 2018-08-01 |
1164815510 | Tracy Eustice | Physical Therapist | 336 N Belmont Dr, Mankato, MN 56001-5234 | 2015-03-10 |
1063811552 | Alisse Zignego | Physical Therapist | 2945 Hazelwood St Ste 320, Maplewood, MN 55109-1244 | 2014-08-20 |
1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
1760690788 | Daniel John Robertson Worley | Physical Therapist | 2842 Garfield St Ne, Minneapolis, MN 55418-3052 | 2007-05-21 |
1033266333 | Jacqueline Kay Harry | Physical Therapist | Medcentra, 225 N. Smith Ave, Suite 301, St. Paul, MN 55102 | 2007-01-05 |
1124133376 | Traci Marie Arens | Physical Therapist | 20 Thompson Ave E Ste 203, Saint Paul, MN 55118-3189 | 2006-08-20 |
1487281242 | Beth Anne Wespetal | Physical Therapist | 8000 Bass Lake Rd, New Hope, MN 55428-3118 | 2020-03-23 |
1013575489 | Heather Robbins | Physical Therapist | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2019-05-31 |
1043874639 | Prentice Valvick | Physical Therapist | 708 Mound Ave, Mankato, MN 56001-1645 | 2019-04-29 |
Find all providers with the same taxonomy |
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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.