TRACY PETERSON (NPI# 1093167165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093167165 |
| Entity Type | Individual |
| Full Name | TRACY PETERSON |
| Credential | PTA |
| Practice Address |
500 Harvard St Se Mayo 450/ Mmc 106 Minneapolis MN 55455-0363 |
| Mailing Address |
500 Harvard St Se Minneapolis MN 55455-0363 |
| Practice Telephone | 6122738922 |
| Mailing Telephone | 6122738922 |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | A2069 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205245727 | Tracy Peterson Jr. | Community Health Worker | 833 Greenville Rd Ne, Bristolville, OH 44402-9767 | 2014-08-08 |
| 1013356369 | Tracy Peterson | Registered Nurse | 116 N 6th St, Madison, WI 53704-4935 | 2013-06-20 |
| 1619058740 | Tracy M Peterson | Nurse Practitioner | 2901 W Kinnickinnic River Pkwy, #102, Milwaukee, WI 53215-3677 | 2006-10-17 |
| 1669563136 | Tracy Peterson | Physician Assistant | 1770 Motor Pkwy, Islandia, NY 11749-5260 | 2006-09-27 |
| 1134136419 | Tracy Peterson | Counselor | 614 N 3rd Ave, Wausau, WI 54401-2913 | 2006-08-01 |
| 1588652440 | Tracy L. Peterson | Nurse Anesthetist, Certified Registered | 800 East Carpenter Street, Room 2k64, Springfield, IL 62769-0001 | 2005-10-13 |
| Street Address |
500 HARVARD ST SE MAYO 450/ MMC 106 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455-0363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396737359 | Tae Whang Kim | Anesthesiology | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2005-08-16 |
| 1972100923 | Laura Eggen | Nurse Practitioner | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2020-10-02 |
| 1720695448 | Natalie Jean Olson | Nurse Anesthetist, Certified Registered | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2020-09-27 |
| 1316551518 | Zachary Taylor | Registered Nurse | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2020-09-04 |
| 1346852969 | Lane M Skalberg | Pharmacist | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2020-08-17 |
| 1801407192 | Vicky Hedican-sime | Nurse Practitioner | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2020-08-11 |
| 1356967293 | Rachel Saefong | Occupational Therapist | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2020-06-16 |
| 1467073288 | Shamsah Rehmatullah | Clinical Nurse Specialist | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2020-05-04 |
| 1801417142 | Megan Bergland | Occupational Therapist | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2020-04-28 |
| 1255951216 | Michael Glenn Petty | Registered Nurse | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2020-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| 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 |
|---|---|---|---|---|
| 1316277148 | Mary Kay Rose | Physical Therapy Assistant | 2025 E. River Parkway, Minneapolis, MN 55414 | 2009-12-29 |
| 1982263067 | Molly Marie Mathewson | Physical Therapy Assistant | 7500 W 22nd St, Minneapolis, MN 55426-2602 | 2019-06-11 |
| 1790286284 | Erica Mctaggart Cpta | Physical Therapy Assistant | 815 N Rothsay Ave, Minneapolis, KS 67467-1637 | 2018-02-21 |
| 1760900757 | Whitney Ann Williams | Physical Therapy Assistant | 3815 W Broadway Ave, Minneapolis, MN 55422-2207 | 2017-08-30 |
| 1942747076 | Mary Gorelczenko | Physical Therapy Assistant | 800 E 28th St, Suite 2704, Minneapolis, MN 55407-3723 | 2017-01-26 |
| 1336681873 | Karisa Wandersee | Physical Therapy Assistant | 2512 S 7th St, Minneapolis, MN 55454-1404 | 2016-11-15 |
| 1710339106 | Lisa Kapsner-swift | Physical Therapy Assistant | 420 Delaware St Se, Mayo 450/mmc 106, Minneapolis, MN 55455-0341 | 2016-07-08 |
| 1043669716 | Sondra Mosing | Physical Therapy Assistant | 420 Delaware St Se, Mayo 450/mcc106, Minneapolis, MN 55455-0341 | 2016-06-03 |
| 1205296357 | Alisa Hoang | Physical Therapy Assistant | 2800 Chicago Ave, Ste 102, Minneapolis, MN 55407-1318 | 2016-03-02 |
| 1871927970 | Sara Kristin Conrad | Physical Therapy Assistant | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2013-08-26 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
Please comment or provide details below to improve the information on TRACY PETERSON.
| 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.