BETHANY PETERSON (NPI# 1861989204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861989204 |
| Entity Type | Individual |
| Full Name | BETHANY PETERSON |
| Practice Address |
550 Osborne Rd Ne Fridley MN 55432-2718 |
| Mailing Address |
1040 Ensley Ave Apt 109 Northfield MN 55057-3307 |
| Practice Telephone | 7632365000 |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2018-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICA | 808054707 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689296865 | Bethany Peterson | Physical Therapist | 701 E 63rd St Ste G10, Kansas City, MO 64110-3305 | 2020-05-11 |
| 1144827957 | Bethany Amanda Peterson | Nurse Practitioner | 3301 Stadium Dr, Phenix City, AL 36867-3115 | 2020-10-05 |
| 1497203988 | Bethany Peterson | Marriage & Family Therapist | 1201 25th St S, Fargo, ND 58103-2311 | 2016-09-14 |
| 1316304033 | Bethany Lynne Peterson | Physical Therapist | 1836 South Ave, La Crosse, WI 54601-5429 | 2016-01-26 |
| 1861875734 | Bethany Peterson | Social Worker | 86 Tandberg Trl, Windham, ME 04062-5841 | 2015-07-09 |
| 1134493471 | Bethany Peterson | Social Worker | 100 4th St S, Fargo, ND 58103-1929 | 2012-03-05 |
| 1982863106 | Bethany Ann Peterson | Obstetrics & Gynecology | 21700 Kingsland Blvd, Suite 201, Katy, TX 77450-2545 | 2008-06-03 |
| Street Address |
550 OSBORNE RD NE |
| City | FRIDLEY |
| State | MN |
| Zip Code | 55432-2718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689666497 | Jeffrey S Herman | Radiology | 550 Osborne Rd Ne, Unity Radiation Therapy Ctr, Fridley, MN 55432-2718 | 2005-08-17 |
| 1982231189 | Sylvia Lirazan | Physical Medicine & Rehabilitation | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2020-03-26 |
| 1487206926 | Marie Granquist | Physical Therapy Assistant | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-07-15 |
| 1003468539 | Laura Jeanne Houfek | Occupational Therapist | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-07-15 |
| 1497307235 | Shaun Michael Sperr | Physical Therapist | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-07-11 |
| 1285192252 | Chamaera Sowell | Social Worker | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-03-07 |
| 1932665858 | Amy Kirsten Maynard | Registered Nurse | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-02-15 |
| 1225593825 | Shannon Thomas Woulfe | Psychologist | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-02-07 |
| 1578031779 | Caroline Betty Muthuri | Nurse Practitioner | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2018-11-06 |
| 1841783131 | Symphony Michelle Moser | Speech-Language Pathologist | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2018-06-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791177 | Adelyn Ruth Kopp | Occupational Therapist | 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 | 2019-07-11 |
| 1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
| 1518402213 | Peaceful Adult Day Center LLC. | Home Health | 6267 University Ave Ne, Fridley, MN 55432 | 2017-01-04 |
| 1205383742 | Farhiya Mahamud Gelle I | Durable Medical Equipment & Medical Supplies | 6329 5th Street Ne Apt 8, Fridley, MN 55432 | 2016-09-01 |
| 1093163164 | Christiane Schwecke | Specialist/Technologist | 8290 University Ave N, Fridley, MN 55432 | 2016-05-31 |
| 1336551563 | Amy White Mountain | Massage Therapist | 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 | 2014-05-22 |
| 1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
| 1952648180 | John Franklyn Marshall | Family Medicine | 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 | 2013-01-08 |
| 1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
| 1336423391 | Christian Restoration Services | Counselor | 7157 Commerce Circle W, Fridley, MN 55432 | 2011-10-07 |
| Find all providers in zip 55432 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) 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 |
|---|---|---|---|---|
| 1720462120 | Paul Hinz | Physical Therapy Assistant | 1601 N Innsbruck Dr Apt 308, Fridley, MN 55432-6061 | 2015-07-15 |
| 1487206926 | Marie Granquist | Physical Therapy Assistant | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-07-15 |
| 1811123516 | Anthony J Flink | Physical Therapy Assistant | 6401 University Ave Ne, 105, Fridley, MN 55432-4341 | 2009-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940720 | Oyku Eskici | Physical Therapy Assistant | 1421 W 143rd St Apt 210, Burnsville, MN 55306-4992 | 2020-10-18 |
| 1528687118 | Mariah A Lennander | Physical Therapy Assistant | 805 Franklin St Sw, Hutchinson, MN 55350-3101 | 2020-04-13 |
| 1649806753 | Kristina Navarro | Physical Therapy Assistant | 894 Lovell Ave W, Saint Paul, MN 55113-4465 | 2020-03-20 |
| 1467096123 | Erica Aimee Hansen | Physical Therapy Assistant | 4461 White Bear Pkwy Ste 1, White Bear Lake, MN 55110-7626 | 2019-11-05 |
| 1639738982 | Link Physical Therapy LLC | Physical Therapy Assistant | 8599 W Point Douglas Rd S Ste 200, Cottage Grove, MN 55016-2165 | 2019-06-11 |
| 1841859154 | Nathan Henke | Physical Therapy Assistant | 2361 Crystal Bay Ct Sw, Rochester, MN 55902-4278 | 2019-06-10 |
| 1508320292 | Kayla Pilarski | Physical Therapy Assistant | 699 Edith Ave, Mahtomedi, MN 55115-2228 | 2019-01-26 |
| 1326512138 | Heather Marie Noha | Physical Therapy Assistant | 11483 Bonnie Rd, Brainerd, MN 56401-5291 | 2019-01-15 |
| 1598233439 | Victor Jesus Solorio | Physical Therapy Assistant | 165 Mcknight Rd N Apt 101, Saint Paul, MN 55119-4677 | 2018-11-08 |
| 1821573635 | Sam Szpek | Physical Therapy Assistant | 7141 York Ave S, Edina, MN 55435-4512 | 2018-09-27 |
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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.