Jesse Peterson in Chicago - Physical Therapy Assistant

Jesse Peterson - NPI 1174642136

Jesse Peterson is a Physical Therapy Assistant in Chicago, Illinois. Jesse Peterson practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Jesse Peterson is 1174642136. The last update date is 2007-07-08.

Jesse Peterson's current location address is 222 S Riverside Plz Ste 830, Chicago, Illinois. You can contact this provider via phone number 8663860773. The mailing address for Jesse Peterson is 222 S Riverside Plz Ste 830, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Jesse Peterson
Address 222 S Riverside Plz Ste 830, Chicago, Illinois
Phone Number 8663860773
Fax Number
Sole Proprietor N
Credentials PHYSICAL T

NPI Number Detail

NPI Number 1174642136
Provider Enumeration Date 2007-03-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 222 S Riverside Plz Ste 830
City Chicago
State Illinois (IL)
Post Code 606065900
Phone Number 8663860773
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Definition:
(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 Post

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FAQs about Jesse Peterson

What is the unique 10-digit identification code issued to Jesse Peterson by the Centers for Medicare & Medicaid Services?

The Jesse Peterson has been assigned the NPI (National Provider Identifier) 1174642136 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Jesse Peterson located?

The Jesse Peterson is located at 222 S Riverside Plz Ste 830, Chicago, IL 606065900.

What is Jesse Peterson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jesse Peterson's specialized field of practice is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 225200000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1174642136 to Jesse Peterson?

The Centers for Medicare & Medicaid Services assigned the 1174642136 to Jesse Peterson on 2007-03-28.

As of what date was the information regarding Jesse Peterson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jesse Peterson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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