DR. TIMOTHY W. PETERSON D.C.
NPI 1548312382
Chiropractor in San Antonio, TX

Active since January 18, 2007
4230 GARDENDALE ST, BLDG 201, SAN ANTONIO, TX 78229(210) 691-2747 Get Directions Write a Review

NPPES record last updated: May 31, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Timothy W. Peterson D.c. NPPES

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

DR. TIMOTHY W. PETERSON D.C. (NPI 1548312382) is an individual chiropractor in San Antonio, Texas, licensed in Texas (7180) and active in the NPI registry since January 2007. He is a graduate of Palmer College Chiropractic - Davenport (1995).

NPPES Registry Identity

NPI1548312382
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. TIMOTHY W. PETERSONCredential: D.C.
Location Address4230 GARDENDALE ST, BLDG 201San Antonio, TX 78229-3475
Mailing Address4230 Gardendale, Bldg 201San Antonio, TX 78229 · (210) 691-2747
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1995
Enumeration DateJanuary 18, 2007
Last NPPES UpdateMay 31, 2011
NPI 1548312382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in TX · 7180
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
4230 GARDENDALE ST, San Antonio, TX 78229

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Timothy W. Peterson D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143407106
PECOS Enrollment IDI20110601000048

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
132 services18 patients

Other Providers at the Same Location NPPES 11

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

Marriage & Family Therapist
4230 GARDENDALE ST, SUITE 502
SAN ANTONIO, TX 78229
Marriage & Family Therapist
4230 GARDENDALE ST, SUITE 502
SAN ANTONIO, TX 78229
Chiropractor
4230 GARDENDALE ST, BLDG. 201
SAN ANTONIO, TX 78229
Marriage & Family Therapist
4230 GARDENDALE ST, SUITE 502
SAN ANTONIO, TX 78229
Marriage & Family Therapist
4230 GARDENDALE ST, SUITE 502
SAN ANTONIO, TX 78229
Chiropractor
4230 GARDENDALE ST, BLDG. 201
SAN ANTONIO, TX 78229
Marriage & Family Therapist
4230 GARDENDALE ST, SUITE 502
SAN ANTONIO, TX 78229
Marriage & Family Therapist
4230 GARDENDALE ST, SUITE 502
SAN ANTONIO, TX 78229

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 Timothy Peterson's NPI number?

The NPI number for Timothy Peterson is 1548312382. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Timothy Peterson located?

Timothy Peterson practices at 4230 Gardendale St Bldg 201, San Antonio, TX 78229. The listed phone number is (210) 691-2747.

What is Timothy Peterson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Timothy Peterson enrolled in Medicare?

Yes. Timothy Peterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Peterson was last updated on May 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.