BENNET PETERSEN MS, OTR/L
NPI 1700166295
Occupational Therapist in Kenosha, WI

Active since August 28, 2011
10222 74TH ST STE 211, KENOSHA, WI 53142(262) 925-5020(262) 925-5021 Get Directions Write a Review

NPPES record last updated: June 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bennet Petersen Ms, Otr/l NPPES

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

BENNET PETERSEN MS, OTR/L (NPI 1700166295) is an individual occupational therapist in Kenosha, Wisconsin, licensed in Wisconsin (6674-26) and active in the NPI registry since August 2011. He maintains a secondary practice location in North Las Vegas.

NPPES Registry Identity

NPI1700166295
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameBENNET PETERSENCredential: MS, OTR/L
Location Address10222 74TH ST STE 211Kenosha, WI 53142-6810
Mailing Address3921 30th Ave Ste CKenosha, WI 53144-1957 · (262) 925-5004 · Fax (262) 925-5001
Fax(262) 925-5021
Sole ProprietorNo
Enumeration DateAugust 28, 2011
Last NPPES UpdateJune 5, 2020
NPPES CertifiedJune 5, 2020
NPI 1700166295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in WI · 6674-26
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
10222 74TH ST STE 211, Kenosha, WI 53142

Secondary Practice Location 1

Location 13506 Jordan LnNorth Las Vegas, NV 89032-0516 · Phone (847) 380-0896

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.

Occupational Therapist
10222 74TH ST STE 211
KENOSHA, WI 53142
Physical Therapist
10222 74TH ST STE 211
KENOSHA, WI 53142
Physical Therapist
10222 74TH ST STE 211
KENOSHA, WI 53142
Occupational Therapist
10222 74TH ST STE 211
KENOSHA, WI 53142
Physical Therapist
10222 74TH ST STE 211
KENOSHA, WI 53142
Physical Therapist
10222 74TH ST STE 211
KENOSHA, WI 53142
Clinic/Center (Rehabilitation)
10222 74TH ST STE 211
KENOSHA, WI 53142

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 Bennet Petersen's NPI number?

The NPI number for Bennet Petersen is 1700166295. It was assigned to this individual provider in the NPPES registry on August 28, 2011.

Where is Bennet Petersen located?

Bennet Petersen practices at 10222 74th St Ste 211, Kenosha, WI 53142. The listed phone number is (262) 925-5020.

What is Bennet Petersen's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

When was this NPI record last updated?

The NPPES record for Bennet Petersen was last updated on June 5, 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.