DENIECE P PETERSEN DPT
NPI 1083025571
Physical Therapist in Broken Bow, NE

Active since May 19, 2014
325 S 1ST AVE, BROKEN BOW, NE 68822(308) 872-5111(308) 872-5115 Get Directions Write a Review

NPPES record last updated: April 21, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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

NPI1083025571
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameDENIECE P PETERSENCredential: DPT
Location Address325 S 1ST AVEBroken Bow, NE 68822-0435
Mailing Address325 S 1st Ave, P.o. Box 435Broken Bow, NE 68822-0435 · (308) 872-5111 · Fax (308) 872-5115
Fax(308) 872-5115
Sole ProprietorNo
Enumeration DateMay 19, 2014
Last NPPES UpdateApril 21, 2017
✔ NPI 1083025571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NE · 2999
Definition
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:
  • 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.
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.
325 S 1ST AVE, Broken Bow, NE 68822

Other Identifiers 2

Medicare PIN09856212NE
Other12685767NE · Caqh

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.

Emergency Medicine
2700 W NORFOLK AVE
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.

Physical Therapist
325 S 1ST AVE
BROKEN BOW, NE 68822
Physical Therapist
325 S 1ST AVE, MCMEEN PHYSICAL THERAPY, PC
BROKEN BOW, NE 68822
Physical Therapist
325 S 1ST AVE
BROKEN BOW, NE 68822
Physical Therapist
325 S 1ST AVE
BROKEN BOW, NE 68822
Physical Therapist
325 S 1ST AVE
BROKEN BOW, NE 68822
Specialist/Technologist (Athletic Trainer)
325 S 1ST AVE
BROKEN BOW, NE 68822
Physical Therapist
325 S 1ST AVE
BROKEN BOW, NE 68822
Physical Therapist
325 S 1ST AVE
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.