Peterson Sports Therapy LLC
NPI 1104410216 · Physical Therapist · Danvers, MA
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peterson Sports Therapy LLC is a Physical Therapist organization in Danvers, MA (NPI 1104410216).
Provider details
- NPI number
- 1104410216
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Stacy Peterson, Owner/Practice Manager(978) 774-4000
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-03-01
- Last updated
- 2021-03-01
- Certified
- 2021-03-01
Frequently asked questions
- What is Peterson Sports Therapy LLC's NPI number?
- Peterson Sports Therapy LLC's National Provider Identifier (NPI) is 1104410216, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peterson Sports Therapy LLC?
- Peterson Sports Therapy LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Peterson Sports Therapy LLC located?
- Peterson Sports Therapy LLC's practice location on file with NPPES is 4 State Rd, Danvers, MA 01923-2567.
- What is Peterson Sports Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Peterson Sports Therapy LLC is (978) 774-3400.
- Does Peterson Sports Therapy LLC accept Medicare?
- Peterson Sports Therapy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Peterson Sports Therapy LLC?
- The authorized official listed on Peterson Sports Therapy LLC's NPPES record is Stacy Peterson, Owner/Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peterson Sports Therapy LLC's NPI active?
- Yes — Peterson Sports Therapy LLC's NPI (1104410216) is active in the NPPES registry as of the last update on 2021-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.