DENIECE P PETERSEN DPT
NPI 1083025571
Physical Therapist in Broken Bow, NE
About Deniece P Petersen Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DENIECE P PETERSEN DPT (NPI 1083025571) is an individual physical therapist in Broken Bow, Nebraska, licensed in Nebraska (2999) and active in the NPI registry since May 2014.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- 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.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Deniece P Petersen Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Deniece Petersen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Norfolk, NE 68701
- Reassigned Medicare billing, Nebraska enrollment
- 40 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROKEN BOW, NE 68822
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Deniece Petersen's NPI number?
The NPI number for Deniece Petersen is 1083025571. It was assigned to this individual provider in the NPPES registry on May 19, 2014.
Where is Deniece Petersen located?
Deniece Petersen practices at 325 S 1st Ave, Broken Bow, NE 68822. The listed phone number is (308) 872-5111.
What is Deniece Petersen's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Deniece Petersen enrolled in Medicare?
Yes. Deniece Petersen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Deniece Petersen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Deniece Petersen reassigns Medicare benefits to Faith Regional Health Services (Norfolk, NE). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Deniece Petersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Deniece Petersen was last updated on April 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.