Individual
MR. THEODORE WILLIAM PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.R.
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
00800
IA
225X00000X
Occupational Therapist
Primary
OT-886
ID
Other
Enumeration date
11/15/2006
Last updated
08/18/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up