KERSEY PETERSON


Address: 9089 Clairemont Mesa Blvd, Suite 200, San Diego, CA 92123-1234
Phone: 8007876787

KERSEY PETERSON (NPI# 1437692621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437692621
Entity Type Individual
Full Name KERSEY PETERSON
Credential CTRS
Practice Address 9089 Clairemont Mesa Blvd
Suite 200
San Diego
CA 92123-1234
Practice Telephone 8007876787
Enumeration Date 2016-11-21
Last Update Date 2016-11-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225800000X Recreation Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 9089 CLAIREMONT MESA BLVD
SUITE 200
City SAN DIEGO
State CA
Zip Code 92123-1234

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780873687 Michael Sims Physical Therapy Assistant 9089 Clairemont Mesa Blvd, San Diego, CA 92123-1234 2007-10-17
1750870754 Cristan Dale Villanueva Occupational Therapist 9089 Clairemont Mesa Blvd, Ste 200, San Diego, CA 92123-1225 2018-05-04
1255846796 Jaleesa Follens-jones Physical Therapist 9089 Clairemont Mesa Blvd, San Diego, CA 92123-1234 2017-12-06
1972976207 Cara Ann Beck Physical Therapy Assistant 9089 Clairemont Mesa Blvd, San Diego, CA 92123-1234 2015-11-09
1033581624 Hanre Le Roux Occupational Therapist 9089 Clairemont Mesa Blvd, Ste. 200, San Diego, CA 92123-1234 2015-10-22
1871962837 Jeffrey Orville Physical Therapy Assistant 9089 Clairemont Mesa Blvd, Ste. 200, San Diego, CA 92123-1234 2015-09-21
1184018111 Daniel Milton Physical Therapy Assistant 9089 Clairemont Mesa Blvd, Ste. 200, San Diego, CA 92123-1234 2015-03-27
1003206970 Ivanova Guillen Physical Therapy Assistant 9089 Clairemont Mesa Blvd, Suite 200, San Diego, CA 92123-1234 2015-01-30
1396081147 Judy Sun Occupational Therapist 9089 Clairemont Mesa Blvd, Suite 200, San Diego, CA 92123-1234 2012-12-26
1720350234 Matthew John Collins Physical Therapy Assistant 9089 Clairemont Mesa Blvd, Suite 200, San Diego, CA 92123-1234 2012-01-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669087326 Corina Lozano Manzo Registered Nurse 7436 Mission Center Road, San Diego, CA 92123 2020-09-10
1831703537 Shannon Leigh Doolittle Audiologist 3020 Children's Way Mc5010, San Diego, CA 92123 2020-09-01
1861014359 Ha Thanh Truong Pharmacist Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 2020-05-07
1023667136 Brittany Meyer Physical Therapist 3020 Children's Waymc5068, San Diego, CA 92123 2019-09-11
1598313272 Ryan Edward Shaw Marriage & Family Therapist 8910 Clairmont Mesa Blvd, San Diego, CA 92123 2019-08-27
1528611910 Tanisha C Fulcher Marriage & Family Therapist 8825 Aero Dr., Ste 315, San Diago, CA 92123 2019-07-24
1245795665 Robin James Pekin Marriage & Family Therapist 4450 Kearny Villa Rd, #116, San Diego, CA 92123 2019-02-11
1174093728 Karen Vences Counselor 8755 Aero Dr Suite 230, San Diego, CA 92123 2018-11-27
1255808465 Natasha Herrera Counselor 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 2018-10-25
1407321987 Maneka Elikewela Behavior Technician 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 2018-10-10
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Taxonomy Information

Taxonomy Code 225800000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Recreation Therapist

Taxonomy Definition

A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770704090 Nancy M. Bazzetta Recreation Therapist 3853 Rosecrans, San Diego, CA 92110 2007-05-02
1649807892 Margaret Kremer Recreation Therapist 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2020-03-26
1407386972 Randy Giorgio Munguia Recreation Therapist 9089 Clairemont Mesa Blvd Ste 200, San Diego, CA 92123-1225 2017-06-15
1528473295 Elizabeth Rau Recreation Therapist 3853 Rosecrans St, San Diego, CA 92110-3115 2014-06-21
1831525088 Dawn Michelle Mercurio Recreation Therapist 3853 Rosecrans St, San Diego, CA 92110-3115 2013-09-19
1134553944 Taylor Brooke Jaquay Recreation Therapist 3853 Rosecrans St, San Diego, CA 92110-3115 2013-08-28
1598039059 Kent Daniel Holt Recreation Therapist 3853 Rosecrans St, San Diego, CA 92110-3115 2012-03-01
1104112663 Kristina Mohrhardt Recreation Therapist 3853 Rosecrans St, San Diego, CA 92110-3115 2011-06-23
1063706224 Jennifer Anne Bixler Recreation Therapist 3853 Rosecrans St, San Diego, CA 92110-3115 2011-06-06
1093986978 Diana D. Rose Recreation Therapist 3853 Rosecrans St, San Diego, CA 92110-3115 2008-03-18
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92123

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Dataset Information

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.

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