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

Q: 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.

Q: What is Timothy Peterson's specialty?

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

Q: 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.

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: October 18, 2026.

On this page

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

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Other Identifiers 2

Other481291951010WI · Blue Cross

Medicare UPIN0002

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignment

Medicare enrollment records show Timothy Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Peterson Chiropractic Clinic Ltd

1.4 mi

Chiropractor

10135 HWY SS
Bloomer, WI 54724

Reassigned Medicare billing, Wisconsin enrollment
2 clinicians in this Medicare group

NPI 1982773867 (715) 568-1251

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 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.

Which organization bills Medicare for Timothy Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Peterson reassigns Medicare benefits to Peterson Chiropractic Clinic Ltd (Bloomer, WI). 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 Timothy Peterson'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 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.