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MR. MATTHEW D. PETERSEN S.T.
NPI 1477607083
in Omaha, NE

Active since January 22, 2007
11704 W CENTER RD STE 200, OMAHA, NE 68144(402) 691-0500(402) 691-1586 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Matthew D. Petersen S.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MATTHEW D. PETERSEN S.T. (NPI 1477607083) is an individual healthcare provider in Omaha, Nebraska and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1477607083
Entity TypeIndividualMale
Primary Taxonomy246ZS0400X
Provider Legal NameMR. MATTHEW D. PETERSENCredential: S.T.
Location Address11704 W CENTER RD STE 200Omaha, NE 68144-4327
Mailing Address20 Elmwood DrCouncil Bluffs, IA 51503-1623 · (712) 256-7953
Phone(402) 691-0500
Fax(402) 691-1586
Sole ProprietorNo
Enumeration DateJanuary 22, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1477607083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary Specialty
Taxonomy Code246ZS0400X
11704 W CENTER RD STE 200, Omaha, NE 68144
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARTY A SIPES S.T.
Specialist/Technologist, Other (Surgical Technologist)
11704 W CENTER RD STE 200
OMAHA, NE 68144
Douglas County (402) 691-0500
MR. WILLIAM HOLMSTEDT ST
11704 W CENTER RD STE 200
OMAHA, NE 68144
Douglas County (402) 691-0500
KAREN R COSTELLO ST
Specialist/Technologist, Other (Surgical Technologist)
11704 W CENTER RD STE 200
OMAHA, NE 68144
Douglas County (402) 691-0500
JAMIE D REZEK PTA
Physical Therapy Assistant
11704 W CENTER RD STE 200
OMAHA, NE 68144
Douglas County (402) 691-0500
BRANDY M ARMIJO ST
Specialist/Technologist, Other (Surgical Technologist)
11704 W CENTER RD STE 200
OMAHA, NE 68144
Douglas County (402) 691-0500
FROYLAN BARRERA PTA
Physical Therapy Assistant
11704 W CENTER RD STE 200
OMAHA, NE 68144
Douglas County (402) 691-0500
BRIANNA LOVETT PTA
Physical Therapy Assistant
11704 W CENTER RD STE 200
OMAHA, NE 68144
Douglas County (402) 691-0500

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 Matthew Petersen's NPI number?

The NPI number for Matthew Petersen is 1477607083. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Matthew Petersen located?

Matthew Petersen practices at 11704 W Center Rd Ste 200, Omaha, NE 68144. The listed phone number is (402) 691-0500.

When was this NPI record last updated?

The NPPES record for Matthew Petersen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.