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JERRY THOMAS MATTHEW PETERSEN MT-BC
NPI 1487276697
Music Therapist in Rochester, MN

Active since May 11, 2020
136 SANDBAR CT NE, ROCHESTER, MN 55906(763) 415-0374 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jerry Thomas Matthew Petersen Mt-bc NPPES

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

JERRY THOMAS MATTHEW PETERSEN MT-BC (NPI 1487276697) is an individual music therapist in Rochester, Minnesota and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1487276697
Entity TypeIndividualMale
Primary Taxonomy225A00000X
Provider Legal NameJERRY THOMAS MATTHEW PETERSENCredential: MT-BC
Location Address136 SANDBAR CT NERochester, MN 55906-2652
Mailing Address16620 40th Ave NMinneapolis, MN 55446-2687 · (563) 249-5781
Phone(763) 415-0374
Sole ProprietorYes
Enumeration DateMay 11, 2020
NPPES CertifiedMay 11, 2020
✔ NPI 1487276697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMusic TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225A00000X
Definition
Music therapists use music interventions to assess clients' strengths and needs, develop goals, implement services, and evaluate and document progress for individuals of all ages. Music therapists facilitate changes in physical, cognitive, emotional, and/or psychosocial health.
136 SANDBAR CT NE, Rochester, MN 55906
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jerry Thomas Petersen's NPI number?

The NPI number for Jerry Thomas Petersen is 1487276697. It was assigned to this individual provider in the NPPES registry on May 11, 2020.

Where is Jerry Thomas Petersen located?

Jerry Thomas Petersen practices at 136 Sandbar Ct NE, Rochester, MN 55906. The listed phone number is (763) 415-0374.

What is Jerry Thomas Petersen's specialty?

The primary specialty registered for this NPI is Music Therapist with taxonomy code 225A00000X.

When was this NPI record last updated?

The NPPES record for Jerry Thomas Petersen was last updated on May 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.