MRS. MARY ANN PETERSON (NPI# 1942429873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942429873 |
| Entity Type | Individual |
| Full Name | MRS. MARY ANN PETERSON |
| Credential | PT |
| Practice Address |
2117 General Booth Blvd Virginia Beach VA 23454-5803 |
| Mailing Address |
3440 Archer Ct Virginia Beach VA 23452-5911 |
| Practice Telephone | 7574308739 |
| Mailing Telephone | 7574989203 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
2305002139 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | STATE LICENSE NUMBER | 2305002139 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093314908 | Mary Jane Peterson | Chore Provider | 1126 Marianna Dr, Mansfield, OH 44903-9672 | 2020-10-21 |
| 1265963813 | Mary Peterson | Counselor | 221 Loesch Dr, Elgin, TX 78621-1101 | 2017-03-24 |
| 1598179434 | Mary Kathryn Peterson | Physical Therapist | 4690 Whipple Rd, Riverside, CA 92506-1066 | 2014-06-18 |
| 1356508675 | Mary Kathryn Peterson | Family Medicine | 205 S Northwest Hwy Ste 130, Park Ridge, IL 60068-5802 | 2008-05-22 |
| 1457564916 | Mary Beth Peterson | Pharmacist | Hy-vee Drugstore #7026, 2001 Blairs Ferry Rd Ne, Cedar Rapids, IA 52402 | 2007-05-08 |
| 1538233176 | Mary Peterson | Chiropractor | 7250 W College Dr, Suite 1sw, Palos Heights, IL 60463-1151 | 2006-11-17 |
| 1083621445 | Mary E Peterson | Nurse Practitioner | W12070 State Highway 35, Stockholm, WI 54769-6127 | 2006-08-01 |
| 1174572846 | Mary E. Peterson | Psychiatry & Neurology | 105 W 8th Ave Ste 6055, Spokane, WA 99204-2312 | 2006-05-09 |
| 1306813548 | Mary L Peterson | Social Worker | 2040 Raybrook Se, Suite 103, Grand Rapids, MI 49546 | 2006-03-07 |
| 1346216678 | Mary C Peterson | Physical Therapist | 756 Ridge Lake Blvd, Ste 205, Memphis, TN 38120-9445 | 2006-02-27 |
| Street Address |
2117 GENERAL BOOTH BLVD |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23454-5803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912196916 | Jennifer Swanson | Occupational Therapist | 2117 General Booth Blvd, Virginia Beach, VA 23454-5803 | 2007-10-16 |
| 1346432754 | Judith Ann Petrone | Occupational Therapist | 2117 General Booth Blvd, Virginia Beach, VA 23454-5803 | 2007-08-10 |
| 1710109954 | Karen Southers | Speech-Language Pathologist | 2117 General Booth Blvd, Virginia Beach, VA 23454-5803 | 2007-05-03 |
| 1063634111 | Jennifer Ann Cryan | Occupational Therapist | 2117 General Booth Blvd, Virginia Beach, VA 23454-5803 | 2007-05-02 |
| 1982826095 | Janet Marie Sheeley | Speech-Language Pathologist | 2117 General Booth Blvd, Virginia Beach, VA 23454-5803 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356994263 | Agape Consulting | Behavioral Analyst | 1216 Garth Court, Virginia Beach, VA 23454 | 2019-07-19 |
| 1831650266 | Amelia Jo Crutsinger | Physician Assistant | 1644 Kepler Bnd, Virginia Beach, VA 23454 | 2019-03-28 |
| 1538639158 | Bay Psychiatric II Inc | Counselor | 923 First Colonial Rd Suite 1821, Virginia Beach, VA 23454 | 2018-11-26 |
| 1487151759 | Akanksha Mohan | Student in an Organized Health Care Education/Training Program | 100 Mannng Drive, Chapel Hill, Nc 27514, Chapel Hill, NC 23454 | 2018-04-12 |
| 1275038580 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1615 General Booth Blvd, Virginia Beach, VA 23454 | 2018-03-28 |
| 1346783164 | Tracy Chasse | Occupational Therapy Assistant | 1628 Old Donation Parkway, Virginia Beach, VA 23454 | 2016-11-28 |
| 1982066627 | Jennifer Mitchell | Speech-Language Pathologist | 2101 Agecroft Rd., Virginia Beach, VA 23454 | 2016-03-22 |
| 1659730562 | Rebecca Houvener | Psychologist | 1120 First Colonial Rd Ste 202, Virginia Beach, VA 23454 | 2016-02-19 |
| 1932581741 | Monica Jane Bailey | Nurse Practitioner | 2110 N Great Neck Rd, Virginia Beach, VA 23454 | 2015-06-29 |
| 1376930073 | Ashley A Burkholder | Family Medicine | 1024 First Colonial Rd Ste 104, Virginia Beach, VA 23454 | 2015-04-20 |
| Find all providers in zip 23454 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447531066 | Joelle Mary Kelly | Physical Therapist | 2517 Raeford Ct, Virginia Beach, VA 23456-7619 | 2011-09-09 |
| 1699866376 | Wendy B. Jaffe | Physical Therapist | 2525 Inlynnview Rd, Virginia Beach, VA 23454-1846 | 2006-09-27 |
| 1386693372 | Virginia Anne May | Physical Therapist | 4560 South Blvd, Suite 310, Virginia Beach, VA 23452-1160 | 2006-05-08 |
| 1972003044 | Merrie Gabrielle Gray | Physical Therapist | 1413 Laskin Rd, Virginia Beach, VA 23451-6007 | 2018-02-15 |
| 1215437637 | Debora Mae Barnes | Physical Therapist | 1413 Laskin Rd, Virginia Beach, VA 23451-6007 | 2018-02-13 |
| 1639608375 | Cynthia Kays | Physical Therapist | 1413 Laskin Rd, Virginia Beach, VA 23451-6007 | 2017-06-07 |
| 1114479359 | Sarah Hanby | Physical Therapist | 1400 Fordham Dr, Virginia Beach, VA 23464-5368 | 2016-11-03 |
| 1083166888 | Christa Todd | Physical Therapist | 5604 Virginia Beach Blvd, Virginia Beach, VA 23462-5631 | 2016-10-27 |
| 1942648563 | Noelle Drakeford | Physical Therapist | 1400 Fordham Dr, Virginia Beach, VA 23464-5368 | 2013-06-05 |
| 1205023900 | Janet C Smart | Physical Therapist | 4560 South Blvd, Virginia Beach, VA 23452-1160 | 2007-09-27 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23454 |
Please comment or provide details below to improve the information on MRS. MARY ANN PETERSON.
| 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.