MRS. SUE MARIE PETERSON (NPI# 1538114764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538114764 |
| Entity Type | Individual |
| Full Name | MRS. SUE MARIE PETERSON |
| Other Name | MS. SUSAN MARIE WILSON |
| Credential | MA LAT |
| Practice Address |
1507 N 1st St Indianola IA 50125 |
| Mailing Address |
Po Box 461 Nevada IA 50201-0461 |
| Practice Telephone | 5159617435 |
| Practice Fax Number | 5159617436 |
| Mailing Telephone | 5153823366 |
| Mailing Fax Number | 5153821576 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
123BB9961 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447880927 | Sue Peterson | Dietitian, Registered | 15 W 3rd St, Sterling, IL 61081-3510 | 2020-01-23 |
| 1699929489 | Sue Ann Peterson | Counselor | 4400 S Saginaw St Ste 1460, Flint, MI 48507-2664 | 2008-11-06 |
| Street Address |
1507 N 1ST ST |
| City | INDIANOLA |
| State | IA |
| Zip Code | 50125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073036091 | Jessica L Nelson | Physical Therapist | 1507 N 1st St, Indianola, IA 50125-3703 | 2017-07-21 |
| 1376975326 | Eric Michael Holton | Physical Therapist | 1507 N 1st St, Indianola, IA 50125-3703 | 2013-08-01 |
| 1992137947 | Natalie Rielle Theroux | Physical Therapist | 1507 N 1st St, Indianola, IA 50125-3703 | 2013-08-01 |
| 1255671392 | Austin Douglas Ollinger | Physical Therapy Assistant | 1507 N 1st St, Indianola, IA 50125-3703 | 2013-02-27 |
| 1881902245 | Nicole Anne Pontier | Specialist/Technologist | 1507 N 1st St, Indianola, IA 50125-3703 | 2010-09-20 |
| 1174783583 | 21st Century Rehab,pc | Clinic/Center | 1507 N 1st St, Indianola, IA 50125-3703 | 2008-06-10 |
| 1134303605 | Diane E Dewall | Occupational Therapist | 1507 N 1st St, Indianola, IA 50125-3703 | 2007-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316583107 | Mach3 Physical Therapy and Wellness | Clinic/Center | 938 East Hillcrest Ave, Suite A, Indianola, IA 50125 | 2019-11-27 |
| 1023667995 | Bonnie Dufault | Technician | 2402 West Euclid Ave, Indiana, IA 50125 | 2019-09-04 |
| 1407307499 | Traci Rudolf-hanrahan | Social Worker | 310 North Buxton Street, Indianola, IA 50125 | 2016-10-14 |
| 1548544216 | Long Term Medical Supply Corp | Durable Medical Equipment & Medical Supplies | 126 N Howard St, Suite 102, Indianola, IA 50125 | 2011-09-29 |
| 1629272836 | Michael James Hadden | Specialist/Technologist | Simpson College, 701 North C Street, Indianola, IA 50125 | 2007-06-12 |
| 1245440221 | Indianola Ia Assisted Living | Assisted Living Facility | 608 South 15th St., Indianola, IA 50125 | 2007-05-22 |
| 1689769432 | Michele Tingle | Emergency Medicine | 9128 87th Ln, Indianola, IA 50125 | 2006-10-04 |
| 1124079934 | Jonathan P Anderson | Optometrist | 225 W Ashland, Ste 1, Indianola, IA 50125 | 2006-05-15 |
| 1528025533 | Jessica A Espenmiller | Occupational Therapist | 1507 North 1st St, Indianola, IA 50125 | 2006-04-26 |
| 1619947199 | City of Indianola | Ambulance | 110 N First, Indianola, IA 50125 | 2006-01-25 |
| Find all providers in zip 50125 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902250657 | Abby Marie Miller | Specialist/Technologist | 1709 N Jefferson Way Ste 100, Indianola, IA 50125-1459 | 2016-04-19 |
| 1932578549 | Marissa Ramos | Specialist/Technologist | 1409 Apple Dr, Indianola, IA 50125-1170 | 2015-09-24 |
| 1629272836 | Michael James Hadden | Specialist/Technologist | Simpson College, 701 North C Street, Indianola, IA 50125 | 2007-06-12 |
| 1891722401 | Neil A Nelsen | Specialist/Technologist | 307 N J St, Indianola, IA 50125-1918 | 2006-06-27 |
| 1255996252 | Calvin Amos Busby | Specialist/Technologist | 701 N C St, Indianola, IA 50125-1202 | 2019-05-06 |
| 1881902245 | Nicole Anne Pontier | Specialist/Technologist | 1507 N 1st St, Indianola, IA 50125-3703 | 2010-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114336 | Bailey Robinson | Specialist/Technologist | 4828 147th St, Urbandale, IA 50323-2646 | 2020-11-03 |
| 1619577178 | Jason Hopp | Specialist/Technologist | 812 University St # 1425, Pella, IA 50219-1902 | 2020-10-26 |
| 1740889724 | Christine Marie Pruismann | Specialist/Technologist | 230 S 6th St, Nevada, IA 50201-2521 | 2020-10-21 |
| 1811594856 | Zachary A. Mcentee | Specialist/Technologist | 7111 Aurora Ave, Urbandale, IA 50322-1741 | 2020-10-02 |
| 1134733025 | Hannah Marie Gardner | Specialist/Technologist | 2894 Coral Ct, Coralville, IA 52241-2812 | 2020-09-08 |
| 1265044861 | Kelli Elizabeth Brockway | Specialist/Technologist | 2501 Hudson Rd, Cedar Falls, IA 50614-0014 | 2020-08-17 |
| 1477164010 | Shaun Cook | Specialist/Technologist | 2215 Iowa St, Cedar Falls, IA 50613-3845 | 2020-08-16 |
| 1659982296 | Haylee Luna | Specialist/Technologist | 324 Daisy St, Dike, IA 50624-7751 | 2020-08-16 |
| 1831700475 | Mckinley Hawe | Specialist/Technologist | 1045 Center Ave, Garner, IA 50438-1743 | 2020-08-16 |
| 1194336735 | Trevor John Huber | Specialist/Technologist | 816 Washington St, Cedar Falls, IA 50613-2959 | 2020-08-16 |
| Find all providers with the same taxonomy | ||||
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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.