JOHN PETERSON (NPI# 1043630205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043630205 |
| Entity Type | Individual |
| Full Name | JOHN PETERSON |
| Practice Address |
625 Stevens St Medford OR 97504-6719 |
| Mailing Address |
25117 Sw Parkway Ave Ste D Wilsonville OR 97070-9697 |
| Practice Telephone | 5417793551 |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2014-04-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA24092 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225200000X | Physical Therapy Assistant | 09025 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361119 | John Kendall Peterson Jr. | Respiratory Therapist, Registered | 522 Old Colony Rd, South Abington Township, PA 18411-1604 | 2020-06-17 |
| 1417382664 | John A Peterson | Nurse Practitioner | 610 Stickland, Suite 320, Orange, TX 77611 | 2013-09-06 |
| 1740567437 | John Peterson | Durable Medical Equipment & Medical Supplies | 23649 Castle Rock, Mission Viejo, CA 92692-1897 | 2011-11-08 |
| 1366738486 | John M Peterson | Optometrist | 545 S Broadway Ste 500, Denver, CO 80209-4076 | 2011-06-27 |
| 1598905929 | John Michael Peterson | Dentist | 12427 S 4000 W, Ste 200, Riverton, UT 84065 | 2009-02-25 |
| 1457476723 | John R Peterson | Dentist | 3207 Saint Paul Blvd, Rochester, NY 14617-3436 | 2007-03-19 |
| 1295875953 | John Gregory Peterson | Dentist | 9201 W Overland Rd, Boise, ID 83709-2502 | 2007-02-08 |
| 1912065483 | John R Peterson | General Practice | 212 S Mill St, Rushford, MN 55971 | 2006-12-05 |
| 1154404226 | John M Peterson | Neuromusculoskeletal Medicine & OMM | 72 Barre St, Montpelier, VT 05602-3508 | 2006-10-23 |
| 1952408577 | John Michael Peterson | Dentist | 349 W Center St, West Bridgewater, MA 02379-1621 | 2006-09-17 |
| Street Address |
625 STEVENS ST |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-6719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508865015 | Karen Tresser Kahn | Family Medicine | 625 Stevens St, Medford, OR 97504-6719 | 2005-07-18 |
| 1699384172 | Taylor Elizabeth Hall | Occupational Therapist | 625 Stevens St, Medford, OR 97504-6719 | 2020-07-30 |
| 1386174696 | Molly Mccune | Speech-Language Pathologist | 625 Stevens St, Medford, OR 97504-6719 | 2017-06-19 |
| 1689103350 | Emily Romdenne | Physical Therapy Assistant | 625 Stevens St, Medford, OR 97504-6719 | 2017-06-07 |
| 1962879288 | Kyla Defranco | Occupational Therapy Assistant | 625 Stevens St, Medford, OR 97504-6719 | 2015-08-24 |
| 1659753374 | Karen Ann Kralik | Physical Therapy Assistant | 625 Stevens St, Medford, OR 97504-6719 | 2015-06-18 |
| 1376950238 | Summer Parker | Occupational Therapy Assistant | 625 Stevens St, Medford, OR 97504-6719 | 2014-07-11 |
| 1144634049 | Jenna Moskow | Physical Therapy Assistant | 625 Stevens St, Medford, OR 97504-6719 | 2014-06-18 |
| 1780096453 | Erin Enright | Physical Therapy Assistant | 625 Stevens St, Medford, OR 97504-6719 | 2014-05-28 |
| 1093059644 | Medford Operations, LLC | Skilled Nursing Facility | 625 Stevens St, Medford, OR 97504-6719 | 2012-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| 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 |
|---|---|---|---|---|
| 1407295074 | Janis Arlean Jackson | Physical Therapy Assistant | 3512 Excel Dr Ste 105, Medford, OR 97504-9850 | 2013-06-17 |
| 1144514563 | Kristin Marie Evans | Physical Therapy Assistant | 76 Westwood Rd, Medford, MA 02155-1657 | 2011-06-02 |
| 1669663902 | Elizabeth Traina | Physical Therapy Assistant | 454 Highland Dr, Medford, OR 97504-7567 | 2007-08-01 |
| 1932715612 | Michael Aaron Schwentner | Physical Therapy Assistant | 835 Crater Lake Ave, Medford, OR 97504-6505 | 2020-09-18 |
| 1710511811 | Gary Brown | Physical Therapy Assistant | 1733 N Ocean Ave Ste A, Medford, NY 11763-2606 | 2020-02-27 |
| 1821620352 | Lindsey Mara Krevitsky | Physical Therapy Assistant | 1733 N Ocean Ave Ste A, Medford, NY 11763-2606 | 2020-02-12 |
| 1295386639 | Junne Licata | Physical Therapy Assistant | 1200 Mira Mar Ave, Medford, OR 97504-8546 | 2019-09-26 |
| 1730734716 | Alice M King | Physical Therapy Assistant | 200 Governors Ave, Medford, MA 02155-1644 | 2019-08-06 |
| 1992362867 | Courtney Howarth | Physical Therapy Assistant | 1111 Crater Lake Ave, Medford, OR 97504-6241 | 2019-05-24 |
| 1134602782 | Silvia Riscazzi | Physical Therapy Assistant | 121 Washington St, Medford, MA 02155-4756 | 2018-09-10 |
| Find all providers in MEDFORD | ||||
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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.