Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164646741 Individual Practitioner Male Practitioner

Dr. Kenneth R Peterson , DC

Chiropractor • Groton, CT

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Peterson, DC is a registered healthcare professional specializing in Chiropractor in Groton, CT. Practice services are available at 62 FORT HILL RD STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

62 Fort Hill Rd Ste B

Groton, CT 063404398

Telephone 8604406754
Fax 8604950043
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Groton, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.6 Yrs
State Avg: 26.4 Yrs
Regional Practice Density
18 Specialists

Practicing in Groton, CT (937 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-06-24
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License CT 001702

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1336363910

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 24, 2021

Registered at 62 FORT HILL RD STE B, GROTON, CT 063404398 (Tel: 8604406754)

📍
Updated Business Mailing Address June 24, 2021

Registered at 62 FORT HILL RD, STE B, GROTON, CT 063404398 (Tel: 8604406754)

NPI Profile Active December 22, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location December 22, 2009

Registered at 76 FORT HILL RD, GROTON, CT 063404333 (Tel: 8604406754)

📍
Updated Business Mailing Address December 22, 2009

Registered at 76 FORT HILL RD, GROTON, CT 063404333 (Tel: 8604406754)

👤
Provider Name / Credentials Updated December 22, 2009

Recorded as KENNETH PETERSON, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2009

Chiropractor (License #001702 in CT)

🟢
Initial NPI Registration & Enumeration April 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164646741
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 13, 2007
Last Update: June 24, 2021
Sole Proprietor: No

Mailing Address

62 Fort Hill Rd, Ste B

Groton, CT 063404398

Phone: 8604406754

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.