Mrs Paula L Peterson, PT is a
Physical Medicine & Rehabilitation based in Cleveland, Tennessee. Mrs Paula L Peterson is licensed to practice in Tennessee (license number PT000000871) and her current practice location is
3525 Keith Street Nw, Suite M, Cleveland, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(423) 479-7800.
NPI number for Mrs Paula L Peterson is 1972538619 and her current mailing address is 3525 Keith St Nw, Suite M, Cleveland, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972538619.
Healthcare Provider's Profile
| Full Name | Mrs Paula L Peterson |
|---|
| Gender | Female |
|---|
| Speciality | Physical Medicine & Rehabilitation |
|---|
| Location | 3525 Keith Street Nw, Cleveland, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1972538619
- Provider Enumeration Date: 07/11/2006
- Last Update Date: 08/19/2009
Medical Identifiers
Medical identifiers for Mrs Paula L Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972538619 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PT871 (Tennessee) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | PT000000871 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Paula L Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Paula L Peterson, PT
3525 Keith St Nw, Suite M,
Cleveland, TN 37312-4354
Ph: (423) 479-7800 | Mrs Paula L Peterson, PT
3525 Keith Street Nw, Suite M,
Cleveland, TN 37312-4354
Ph: (423) 479-7800 |
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