Hana Petersen (NPI# 1679118715, PAC ID# 5597199521) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1679118715 |
| PAC ID by PECOS | 5597199521 |
| Professional Enrollment ID | I20191230001341 |
| Full Name | Hana Petersen |
| Organization Legal Name | BOOST SPORTS PERFORMANCE LLC |
| Address |
17011 Bel Ray Blvd Belton Raymore Belton MO 64012-5371 |
| Phone Number | 8164254523 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 8921171604 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 17011 Bel Ray Blvd Belton Raymore, Belton, MO 64012-5371 | 8164254523 | BOOST SPORTS PERFORMANCE LLC |
| Organization Legal Name | BOOST SPORTS PERFORMANCE LLC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward Pilgrim | Physical Therapy | Boost Sports Performance LLC | 1254 Se Century Dr, Lees Summit, MO 64081-3286 |
| Samantha Lee Linville | Physical Therapy | Boost Sports Performance LLC | 1460 Nw Olympic Dr, Suite J, Grain Valley, MO 64029-7865 |
| William Patrick Streck | Physical Therapy | Boost Sports Performance LLC | 3801 Selsa Rd, Suite 7, Independence, MO 64057-1712 |
| Patnakon Kevin Sonthana | Physical Therapy | Boost Sports Performance LLC | 2105 Kara Ct, Suite 1 A, Liberty, MO 64068-1395 |
| Zachary T Koelling | Physical Therapy | Boost Sports Performance LLC | 2105 Kara Ct, Suite 1 A, Liberty, MO 64068-1395 |
| Thomas Hargrave | Physical Therapy | Boost Sports Performance LLC | 3801 Selsa Rd, Suite 7, Independence, MO 64057-1712 |
| Michael Ryan Johnson | Physical Therapy | Boost Sports Performance LLC | 3801 Selsa Rd, Suite 7, Independence, MO 64057-1712 |
| Aaron D Horschig | Physical Therapy | Boost Sports Performance LLC | 2105 Kara Ct, Suite 1 A, Liberty, MO 64068-1395 |
| Mary Suellentrop | Physical Therapy | Boost Sports Performance LLC | 17011 Bel Ray Blvd Belton Raymore, Belton, MO 64012-5371 |
| Zachary Lee Hershberger | Physical Therapy | Boost Sports Performance LLC | 3801 Selsa Rd, Suite 7, Independence, MO 64057-1712 |
| Street Address |
17011 BEL RAY BLVD BELTON RAYMORE |
| City | BELTON |
| State | MO |
| Zip | 64012-5371 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Suellentrop | Physical Therapy | Boost Sports Performance LLC | 17011 Bel Ray Blvd Belton Raymore, Belton, MO 64012-5371 |
| Tyler L Wasmer | Physical Therapy | Boost Sports Performance LLC | 17011 Bel Ray Blvd Belton Raymore, Belton, MO 64012-5371 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Breann K Smith | Hospitalist | Connectcare Hospitalists LLC | 17065 S U S 71 Hwy, Belton Regional Medical Center, Belton, MO 64012 |
| Melissa S Campbell | Nurse Practitioner | Connectcare Hospitalists LLC | 17065 S U S 71 Hwy, Belton Regional Medical Center, Belton, MO 64012 |
| John Paul Armilio | Family Medicine | Connectcare Hospitalists LLC | 17065 S U S 71 Hwy, Belton Regional Medical Center, Belton, MO 64012 |
| Nilofar D Rahman | Hospitalist | Connectcare Hospitalists LLC | 17065 S U S 71 Hwy, Belton Regional Medical Center, Belton, MO 64012 |
| Amy W Gemperli | Ophthalmology | Heart of America Eye Care, P.a. | 424 E N Ave, Belton, MO 64012-2017 |
| Amy E Ciccio | Ophthalmology | Heart of America Eye Care, P.a. | 424 E N Ave, Belton, MO 64012-2017 |
| Ginger E Cline | Optometry | Heart of America Eye Care, P.a. | 424 E N Ave, Belton, MO 64012-2017 |
| Alan E Bauman | Ophthalmology | State Line Eye Care Center, PC | 424 E N Ave, Cass County Eye Care Ctr, Belton, MO 64012-2017 |
| Rick D Thomas | Clinical Psychologist | 409 N Scott Ave, Belton, MO 64012-2035 | |
| Robert A Bondi | Podiatry | 115 Bradford Lane, Belton, MO 64012-2086 | |
| Find all physicians in zip 64012 | |||
| City | BELTON |
| Zip Code | 64012 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | BELTON + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Hana Petersen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.