Deniece P. Petersen, DPT
NPI 1083025571ActiveIndividual· Physical Therapist· Broken Bow, NE
Physical Therapist (DPT) in Broken Bow, Nebraska, licensed in NE, with an NPI issued in May 2014. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1083025571 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | May 19, 2014 |
| Last updated in NPPES | Apr 21, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2999 | NE |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NE) |
|---|
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