DR. MITCHELL ALLEN PETERSON (NPI# 1659911089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659911089 |
| Entity Type | Individual |
| Full Name | DR. MITCHELL ALLEN PETERSON |
| Credential | DPT |
| Practice Address |
559 Capitol Blvd Saint Paul MN 55103-2101 |
| Mailing Address |
539 6th Street Ln N Lake Elmo MN 55042-1804 |
| Practice Telephone | 6512322128 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629489596 | Mitchell Alan Peterson | Pediatrics | 1268 W South Jordan Pkwy Ste 201, South Jordan, UT 84095-4653 | 2014-05-14 |
| 1295078509 | Mitchell Taylor Peterson | Physical Therapist | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2013-04-04 |
| 1770526626 | Mitchell Jay Peterson | Family Medicine | 11011 Meridian Ave N, Suite 200, Seattle, WA 98133-8967 | 2006-06-14 |
| Street Address |
559 CAPITOL BLVD |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55103-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114987245 | Karen E. Miller | Internal Medicine | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2006-03-24 |
| 1134689193 | Jeremy Tvrdik | Physical Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2019-03-24 |
| 1932666518 | Eliesa Woggon | Occupational Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2019-03-01 |
| 1558828228 | Tina Denise Stone | Occupational Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2019-02-28 |
| 1053877514 | Jennifer Joy Rovn | Physical Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2019-02-20 |
| 1154887685 | Danetta Lavell | Occupational Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2019-02-20 |
| 1437659190 | Riley Odom | Nurse Practitioner | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2018-02-19 |
| 1215476437 | Kayla Appleby | Social Worker | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2017-02-21 |
| 1659821452 | Jenna Jenkins | Speech-Language Pathologist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2016-10-05 |
| 1841645942 | Danielle Koenig | Nurse Practitioner | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2016-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148161 | Najma Group Home LLC | Home Health | 494 Aurora Ave, St Paul, MN 55103 | 2019-11-12 |
| 1164910121 | Linda's A Mother's Touch | Registered Nurse | 727 Front Ave Apt 606, St. Paul, MN 55103 | 2018-04-25 |
| 1215432380 | Olidia Transit Inc | Non-emergency Medical Transport (VAN) | 476 W Minnehaha Ave, Saint Paul, MN 55103 | 2018-03-29 |
| 1730579764 | Leah Angela Vibar | Chiropractor | 616 Rice Street Ste. B, Moua-lor Chiropractic & Acupuncture, P.a., St. Paul, MN 55103 | 2015-01-29 |
| 1629372479 | Korme Koji | Registered Nurse | 413 Central Avenue, St Paul, MN 55103 | 2011-01-07 |
| 1427360114 | Olydia Home Care Inc | Home Health | 476 West Minnehaha Ave, Saint Paul, MN 55103 | 2010-07-09 |
| 1699908277 | Kathleen Mae Borchert | Clinical Nurse Specialist | 559 Capitol Bloulevard, St. Paul, MN 55103 | 2009-08-28 |
| 1164690442 | Chong Pao Thao | Technician | 23 Empire Drive, Suite 123, St Paul, MN 55103 | 2008-02-20 |
| 1245366806 | Quality Plus Home Healthcare Services Inc | Home Health | 383 University Ave W. Upper, St Paul, MN 55103 | 2007-02-26 |
| 1023176286 | Amherst H. Wilder Foundation | Assisted Living Facility | 280 Ravoux St, Saint Paul, MN 55103 | 2006-12-04 |
| Find all providers in zip 55103 | ||||
| Taxonomy Code | 2251N0400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Neurology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083152201 | Kate Brown | Physical Therapist | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2017-02-08 |
| 1912350869 | Christina Atkinson | Physical Therapist | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2016-07-15 |
| 1619205515 | Carolyn Strand Holm | Physical Therapist | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2009-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568939189 | Laura Ettlin Jacobs | Physical Therapist | 3915 Golden Valley Rd # Trp, Golden Valley, MN 55422-4249 | 2018-11-01 |
| 1619585387 | Kelly Faber | Physical Therapist | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2020-07-20 |
| 1548884950 | Emily Carstens | Physical Therapist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-06-01 |
| 1770119703 | Anne Christine Mackin Emanuel | Physical Therapist | 3915 Golden Valley Rd, Golden Valley, MN 55422-4249 | 2020-03-21 |
| 1538728019 | Daniel Thomas Plocker | Physical Therapist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2019-06-10 |
| 1407322662 | Rebekah L Summers | Physical Therapist | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2018-10-15 |
| 1285083899 | Kristina Swatfager | Physical Therapist | 800 E 28th St, Mail Route 12210, Minneapolis, MN 55407-3723 | 2016-06-06 |
| 1720435282 | Ashley Ann Roiger | Physical Therapist | 3915 Golden Valley Rd, Golden Valley, MN 55422-4249 | 2016-05-15 |
| 1225483365 | Maria Leider | Physical Therapist | 12400 Portland Ave, Ste. 140, Burnsville, MN 55337-6868 | 2016-04-26 |
| 1972834885 | Michael Robert Borich | Physical Therapist | 701 Park Ave, Minneapolis, MN 55415-1623 | 2010-01-18 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55103 |
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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.