Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083025571 Individual Practitioner Female Practitioner

Dr. Deniece P Petersen , DPT

Physical Therapist • Broken Bow, NE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Deniece Petersen, DPT is a certified Physical Therapist practicing in Broken Bow, NE. With approximately 15 years of clinical experience since completing medical education in 2011, Dr. Petersen delivers high-quality medical care to the local community at 325 S 1ST AVE.

Dr. Petersen is affiliated with Faith Regional Health Services and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

325 S 1st Ave

Broken Bow, NE 688220435

Telephone 3088725111
Fax 3088725115
Associated Practice Facility / Clinic
🏢 Team Physical Therapy, P.c. Facility NPI 1386052520

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Broken Bow, NE

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs -2.7 yrs vs City Avg
City Avg: 17.7 Yrs
State Avg: 14.7 Yrs
Regional Practice Density
18 Specialists

Practicing in Broken Bow, NE (2119 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

Clinical Seniority & Experience Comparison

Dr. Petersen (15 Years) 15 Yrs
Broken Bow Specialty Average (17.7 Years) 17.7 Yrs

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License NE 2999

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Caqh
12685767 (NE)

Hospital & Practice Group Affiliations

Faith Regional Health Services

2700 W Norfolk Ave, Norfolk, NE 687014438

Phone: 4023714880

Faith Regional Health Services

2700 W Norfolk Ave, Norfolk, NE 687014438

Practice Associates & Co-Workers

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

16 Associated Practitioners
Ginalee Sinner , MPT

Physical Therapist

NPI 1063694396

Master of Physical Therapy

Dr. Andrew Bowin , DPT

Physical Therapist

NPI 1215026786

Doctor of Physical Therapy

Reynold Mcmeen , PT

Physical Therapist

NPI 1346312535

Physical Therapist

Rachel Scott , PT

Physical Therapist

NPI 1407348204

Physical Therapist

Alyssa Stout , ATC

Specialist/Technologist - Athletic Trainer

NPI 1477238178

Certified Athletic Trainer

Lindsay Mcmeen , PT

Physical Therapist

NPI 1508799149

Physical Therapist

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active April 21, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 21, 2017

Registered at 325 S 1ST AVE, BROKEN BOW, NE 688220435 (Tel: 3088725111)

📍
Updated Business Mailing Address April 21, 2017

Registered at 325 S 1ST AVE, P.O. BOX 435, BROKEN BOW, NE 688220435 (Tel: 3088725111)

👤
Provider Name / Credentials Updated April 21, 2017

Recorded as DENIECE PETERSEN, DPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2017

Physical Therapist (License #2999 in NE)

NPI Profile Active May 19, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 19, 2014

Registered at 325 S 1ST AVE, BROKEN BOW, NE 688222213 (Tel: 3088725111)

📍
Updated Business Mailing Address May 19, 2014

Registered at PO BOX 435, 325 SOUTH 1ST AVENUE, BROKEN BOW, NE 688220435 (Tel: 3088725111)

👤
Provider Name / Credentials Updated May 19, 2014

Recorded as DENIECE PETERSEN, DPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2014

Physical Therapist (License #2999 in NE)

🟢
Initial NPI Registration & Enumeration May 19, 2014

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: 1083025571
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2014
Last Update: April 21, 2017
Sole Proprietor: No

Mailing Address

325 S 1st Ave, P.o. Box 435

Broken Bow, NE 688220435

Phone: 3088725111

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.