THOMAS MICHAEL PETERSON (NPI# 1891755823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891755823 |
Entity Type | Individual |
Full Name | THOMAS MICHAEL PETERSON |
Credential | ATC |
Practice Address |
3537 10th St S Fargo ND 58104-6201 |
Practice Telephone | 7012611145 |
Enumeration Date | 2006-03-24 |
Last Update Date | 2014-08-15 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
01884 | ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164983086 | Thomas Rex Peterson | Emergency Medicine | Fau Emergency Medicine, Bethesda Hospital East, Attn: Joanne Daly, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-26 |
1992208227 | Thomas Joseph Peterson | Student in an Organized Health Care Education/Training Program | Anesthesiology Residency Program, Wrnmmc, 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2018-03-13 |
1275758187 | Thomas Mckeel Peterson | Dentist | 318 3rd Ave Nw, Hickory, NC 28601 | 2007-04-16 |
1114043387 | Thomas G Peterson | Optometrist | 150a County Road B, Shawano, WI 54166 | 2007-03-21 |
1093841397 | Thomas David Peterson | Neuromusculoskeletal Medicine & OMM | 1178 Charnelton St, Eugene, OR 97401-3431 | 2007-02-23 |
1851492573 | Thomas John Peterson | Dentist | 519 Christel Dr., Valders, WI 54245 | 2006-09-26 |
1891806709 | Thomas Merlin Peterson | Dentist | 816 W St Germain St #101, St Cloud, MN 56301-3511 | 2006-08-31 |
1205492287 | Thomas Adam Peterson | Occupational Therapy Assistant | 8820 Horizon Blvd Ne, Albuquerque, NM 87113-1689 | 2019-05-14 |
1659849149 | Thomas Peterson | Behavior Technician | 101 H St Ste L, Petaluma, CA 94952-5100 | 2018-11-02 |
1699267609 | Thomas Austin Peterson | Student in an Organized Health Care Education/Training Program | 6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 | 2018-06-05 |
Street Address |
3537 10TH ST S |
City | FARGO |
State | ND |
Zip Code | 58104-6201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043837347 | Pinnacle Therapy & Wellness, Pllc | Physical Therapist | 4500 36th Ave S Suite 100, Fargo, ND 58104 | 2020-07-02 |
1619509858 | Patricia Helen Bathie | Counselor | 4243 Auburn Ave., Fargo, ND 58104 | 2020-02-05 |
1346892866 | Elizabeth Olis | Registered Nurse | 2633 55th St. S, Apartment 202, Fargo, ND 58104 | 2019-07-15 |
1780247023 | Keith Kirimi Ndege | Physical Therapy Assistant | 5225 23rd Ave South, Fargo, ND 58104 | 2019-04-22 |
1346728557 | Ms4 Pllc | Pharmacy | 4476 31st Avenue South, Suite #105, Fargo, ND 58104 | 2018-07-31 |
1891286977 | Jessica Rae Majidian | Dentist | 3030 49th St S, Fargo, ND 58104 | 2018-05-23 |
1821588500 | Alissa Nichole Larson | Pharmacist | 5675 26th Ave S St. 136a, Fargo, ND 58104 | 2018-05-17 |
1790297430 | Northern Lights Dental | Dentist | 4150 19th Ave S, Suite 301, Fargo, ND 58104 | 2017-11-03 |
1619406733 | Cobalt Rehabilitation Hospital Fargo LLC | Rehabilitation Hospital | 4671 38th Street S, Fargo, ND 58104 | 2017-06-12 |
1790210318 | Homefield Health, LLC | Clinic/Center | 4141 31st Ave S., Ste 102, Fargo, ND 58104 | 2017-04-21 |
Find all providers in zip 58104 |
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 |
---|---|---|---|---|
1225640170 | Jordan Chase Elliott | Specialist/Technologist | 1800 University Dr N, Fargo, ND 58102-2241 | 2020-08-21 |
1235769712 | Kathleen Freebern | Specialist/Technologist | 4780 Timber Pkwy S Apt 103, Fargo, ND 58104-4837 | 2020-01-23 |
1245793330 | Mara Jungels | Specialist/Technologist | 1837 University Dr N, Fargo, ND 58105-2504 | 2019-04-07 |
1215493374 | Kayla Marie Hennum | Specialist/Technologist | 1225 2nd St N, Fargo, ND 58102-2722 | 2019-02-13 |
1740745405 | Anna Marie St Catherine | Specialist/Technologist | 1709 35th St S Apt 416, Fargo, ND 58103-4883 | 2019-02-07 |
1417411380 | Tara Dawn Gebur | Specialist/Technologist | 3200 22nd St S Apt C42, Fargo, ND 58104-6570 | 2019-01-24 |
1427522754 | Dana Vander Wal | Specialist/Technologist | 315 30th Ave N Apt 16, Fargo, ND 58102-1567 | 2019-01-21 |
1912471210 | Kaitlyn Dorsher | Specialist/Technologist | 1113 18th St N Apt C, Fargo, ND 58102-3306 | 2019-01-20 |
1124523576 | Christopher Peroutka | Specialist/Technologist | 1300 17th Ave N, Fargo, ND 58102 | 2018-03-28 |
1205331873 | Nathan Koens | Specialist/Technologist | 1300 17th Avenue North, Fargo, ND 58102 | 2018-03-27 |
Find all providers in FARGO |
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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.