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NPI · 1104410216 · NPPES-sourced

Peterson Sports Therapy LLC

ActivePhysical Therapist
NPI Number
1104410216
Type 2 · Organisation
Taxonomy Code
225100000X
Contact
(978) 774-3400
Primary practice line
Last Updated
Enumerated
Primary practice addressMA · 01923-2567
4 State RdDanvers, MA 01923-2567
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About this NPIWhat this record shows.

NPI 1104410216 is registered to Peterson Sports Therapy LLC, a healthcare organisation classified as "Physical Therapist" and located at 4 State Rd in Danvers, Massachusetts. The organisation's authorised official is Stacy Peterson. The organisation has been enumerated in the NPI registry since 2021.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Peterson Sports Therapy LLC accepts. To confirm in-network status with your specific health plan, contact Peterson Sports Therapy LLC directly at (978) 774-3400.

Frequently asked

Yes. NPI 1104410216 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physical Therapist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (978) 774-3400.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Peterson Sports Therapy LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy225100000X
Last updated
Enumerated
StatusActive
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