1. Home
  2. Directory
  3. Wisconsin
  4. Bloomer
  5. Chiropractor
  6. NPI Profile

DR. TIMOTHY JOHN PETERSON DC
NPI 1609956481
Chiropractor in Bloomer, WI

Active since October 16, 2006
10135 HWY SS, BLOOMER, WI 54724(715) 568-1251(715) 568-1252 Get Directions Write a Review

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

About Dr. Timothy John Peterson Dc NPPES

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

DR. TIMOTHY JOHN PETERSON DC (NPI 1609956481) is an individual chiropractor in Bloomer, Wisconsin, licensed in Wisconsin (1654) and active in the NPI registry since October 2006. He is a graduate of Palmer College Chiropractic - Davenport (1981).

NPPES Registry Identity

NPI1609956481
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. TIMOTHY JOHN PETERSONCredential: DC
Location Address10135 HWY SSBloomer, WI 54724
Mailing Address10135 Hwy SsBloomer, WI 54724 · (715) 568-1251 · Fax (715) 568-1252
Phone(715) 568-1251
Fax(715) 568-1252
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1981
Enumeration DateOctober 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609956481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 1654
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.
10135 HWY SS, Bloomer, WI 54724
Open in Google Maps ↗

Other Identifiers 2

Other481291951010WI · Blue Cross
Medicare UPIN0002

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 John Peterson Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830364439
PECOS Enrollment IDI20120117000290

Other Providers at the Same Location NPPES 2

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

DR. RONALD DANIEL PETERSON DC
Chiropractor
10135 HWY SS
BLOOMER, WI 54724
Chippewa County (715) 568-1251
PETERSON CHIROPRACTIC CLINIC LTD
Chiropractor
10135 HWY SS
BLOOMER, WI 54724
Chippewa County (715) 568-1251

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 1609956481. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Timothy Peterson located?

Timothy Peterson practices at 10135 Hwy Ss, Bloomer, WI 54724. The listed phone number is (715) 568-1251.

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 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.