Andrea V. Peterson
NPI 1174257752ActiveIndividual· Physical Therapy Assistant· Manitowoc, WI
Physical Therapy Assistant in Manitowoc, Wisconsin, licensed in WI, with an NPI issued in July 2022.
Overview
| NPI | 1174257752 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 11, 2022 |
| Last updated in NPPES | Jul 11, 2022 |
| Certified by provider | Jul 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 3162-19 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other physical therapist assistants in Manitowoc
- 1548474521
- 1851174411
- 1669709531
- 1134311996
- 1881728434
- 1235249988
- 1821167057
- 1811160815
- 1861606899
- 1609272723
- 1366695587
- 1922118694
All 46 physical therapist assistants in Manitowoc · All physical therapist assistants in Wisconsin