MR. JUSTIN PETERSON (NPI# 1649879297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649879297 |
| Entity Type | Individual |
| Full Name | MR. JUSTIN PETERSON |
| Credential | CTRS |
| Practice Address |
17273 State Route 104 Chillicothe OH 45601-9718 |
| Mailing Address |
3575 Green Haven Way Maineville OH 45039-9209 |
| Practice Telephone | 7407731141 |
| Mailing Telephone | 7406490606 |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | 53969 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285165472 | Justin D. Peterson | Internal Medicine | 72 E. Newton St, Ste 124, Boston, MA 02118-2308 | 2017-03-21 |
| 1811336241 | Justin Peterson | Surgery | Ky Clinic General Surgery, 740 S Limestone, Lexington, KY 40536-0001 | 2013-06-19 |
| 1174948012 | Justin Ross Peterson | Internal Medicine | 101 Bodin Cir., 60 Mdg/sgopc, Travis Afb, CA 94535-1809 | 2014-03-01 |
| 1033558010 | Justin William Peterson | Orthopaedic Surgery | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2013-06-23 |
| 1073893616 | Justin Peterson | Obstetrics & Gynecology | 2010 Ocilla Rd, Douglas, GA 31533-2230 | 2011-08-26 |
| 1386955029 | Justin Thomas Peterson | Dentist | 325 E Main St, Saint Anthony, ID 83445-1546 | 2010-06-28 |
| Street Address |
17273 STATE ROUTE 104 |
| City | CHILLICOTHE |
| State | OH |
| Zip Code | 45601-9718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730189978 | Vincent Kirkhart | Physician Assistant | 17273 State Route 104, Chillicothe, OH 45601-8608 | 2005-07-29 |
| 1942800040 | Jeffrey David Leeth | Recreation Therapist | 17273 State Route 104, Chillicothe, OH 45601-9718 | 2020-10-28 |
| 1376142018 | Melissa Williams | Recreation Therapist | 17273 State Route 104, Chillicothe, OH 45601-9718 | 2020-10-23 |
| 1366050817 | Cory David Mathia | Pharmacist | 17273 State Route 104, Chillicothe, OH 45601-9718 | 2020-07-21 |
| 1942827043 | Julianne Marie Golinski | Optometrist | 17273 State Route 104, Chillicothe, OH 45601-9718 | 2020-07-06 |
| 1619516192 | Sabrina Marie Gonzales | Psychologist | 17273 State Route 104, Chillicothe, OH 45601-9718 | 2019-12-31 |
| 1003467887 | Allison Nicole Ryan | Social Worker | 17273 State Route 104, Chillicothe, OH 45601-9718 | 2019-09-24 |
| 1386290658 | Loren Mackenzie Knisley | Social Worker | 17273 State Route 104, Chillicothe, OH 45601-9718 | 2019-08-13 |
| 1699328310 | Jenna Kendrick | Pharmacist | 17273 State Route 104, Chillicothe, OH 45601-9718 | 2019-07-22 |
| 1326691049 | Raechel Adamczyk | Pharmacist | 17273 State Route 104, Chillicothe, OH 45601-9718 | 2019-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457872 | Mariah Osborne | Social Worker | 4449 Oh-159, Chillicothe, OH 45601 | 2020-11-03 |
| 1831799741 | Cheyianna Hammond | Pharmacist | 85 River Trace, Chillicothe, OH 45601 | 2020-10-29 |
| 1326653932 | Tabitha Shoemaker | Social Worker | 18-20 E 2nd Street, Chillicothe, OH 45601 | 2020-09-10 |
| 1710596937 | Carly Rainey | Pharmacist | 17273 Sr-104, Chillicothe, OH 45601 | 2020-07-23 |
| 1821639386 | Samuel Ethan Henry | Physician Assistant | 17273 Oh 104, Chillicothe, OH 45601 | 2019-10-04 |
| 1881255040 | Brian Andrew Ice | Nurse Practitioner | 4437 Sr 159, Pavillion Ste 125, Chillicothe, OH 45601 | 2019-06-27 |
| 1770053332 | Dwayne Allan Webb | Home Health Aide | 16 N High St, Chillicothe, OH 45601 | 2018-11-27 |
| 1588148902 | Kristine Ann Oberlin | Social Worker | 16149 Oh-104, Chillicothe, OH 45601 | 2018-09-21 |
| 1730674904 | Christopher Lee Davis | Case Manager/Care Coordinator | 312 East 2nd Street, Chillicothe, OH 45601 | 2018-06-28 |
| 1942794201 | Nettie Vanhoy | Counselor | 220 North Plaza Boulavard, Chillicothe, OH 45601 | 2018-06-20 |
| Find all providers in zip 45601 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487668125 | Annette K Roth | Recreation Therapist | 2519 Rocky Rd, Chillicothe, OH 45601-8940 | 2006-07-28 |
| 1942800040 | Jeffrey David Leeth | Recreation Therapist | 17273 State Route 104, Chillicothe, OH 45601-9718 | 2020-10-28 |
| 1376142018 | Melissa Williams | Recreation Therapist | 17273 State Route 104, Chillicothe, OH 45601-9718 | 2020-10-23 |
| 1548283179 | Joy L Laughlin | Recreation Therapist | 17273 State Route 104, Rehab Care Line (117), Chillicothe, OH 45601-8608 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811387889 | Jill Fink | Recreation Therapist | 7113 S Winners Cir, Perrysburg, OH 43551-4550 | 2015-01-29 |
| 1265605562 | Elizabeth Marie Gyger | Recreation Therapist | 7503 Kingswood Dr, West Chester, OH 45069-2680 | 2008-04-08 |
| 1306031026 | Nancy Lee Ney | Recreation Therapist | 335 Glessner Ave., Medcentral Health System, Mansfield, OH 44903 | 2007-09-06 |
| 1497797534 | Connie Schultz | Recreation Therapist | 4100 W. Third Street (135), Dayton, OH 45428-2221 | 2006-06-12 |
| 1124636360 | Heather Murray (trapp) | Recreation Therapist | 474 N Yellow Springs St, Springfield, OH 45504-2463 | 2020-07-14 |
| 1679194427 | Samantha Renee Webb | Recreation Therapist | 10701 East Blvd, Cleveland, OH 44106-1702 | 2020-05-04 |
| 1649891482 | Clare Schreiner | Recreation Therapist | 10701 East Blvd, Cleveland, OH 44106-1702 | 2020-05-04 |
| 1801417662 | Kathy Bilinski | Recreation Therapist | 10701 East Blvd, Cleveland, OH 44106-1702 | 2020-05-04 |
| 1407485162 | Thomas Krumroy | Recreation Therapist | 10701 East Blvd, Cleveland, OH 44106-1702 | 2020-04-05 |
| 1770112831 | Amy Grams | Recreation Therapist | 10701 East Blvd, Cleveland, OH 44106-1702 | 2020-04-02 |
| Find all providers with the same taxonomy | ||||
| City | CHILLICOTHE |
| Zip Code | 45601 |
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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.