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Jeremiah Petersen, PTA
NPI 1760797203 · Specialist · Greendale, WI
Jeremiah Petersen, PTA is a Specialist provider in Greendale, WI (NPI 1760797203).
Provider details
- NPI number
- 1760797203
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- 1475-19 (WI)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
5900 Mockingbird Ln
Greendale, WI 53129-1459
Phone: (414) 423-1399
Street-level locationGet directions
Mailing address
133 W Oregon St Apt 202
Milwaukee, WI 53204-1483
Registry dates
- Enumerated
- 2010-08-09
- Last updated
- 2012-12-27
Frequently asked questions
- What is Jeremiah Petersen's NPI number?
- Jeremiah Petersen's National Provider Identifier (NPI) is 1760797203, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeremiah Petersen's specialty?
- Jeremiah Petersen is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Jeremiah Petersen located?
- Jeremiah Petersen's practice location on file with NPPES is 5900 Mockingbird Ln, Greendale, WI 53129-1459.
- What is Jeremiah Petersen's phone number?
- The practice phone number listed in the NPPES registry for Jeremiah Petersen is (414) 423-1399.
- Is Jeremiah Petersen's NPI active?
- Yes — Jeremiah Petersen's NPI (1760797203) is active in the NPPES registry as of the last update on 2012-12-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.