MIRANDA L. PETERSON OTR
NPI 1811757164
Occupational Therapist in Oshkosh, WI

Active since March 21, 2024Accepts Medicare Assignment
631 HAZEL ST, OSHKOSH, WI 54901(920) 252-4442 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miranda L. Peterson Otr NPPES

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

MIRANDA L. PETERSON OTR (NPI 1811757164) is an individual occupational therapist in Oshkosh, Wisconsin, licensed in Wisconsin (855426) and active in the NPI registry since March 2024. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1811757164
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMIRANDA L. PETERSONCredential: OTR
Location Address631 HAZEL STOshkosh, WI 54901-4600
Mailing Address2966 Sandia DrGreen Bay, WI 54313-1423
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
NPI 1811757164 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 · 855426
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.
631 HAZEL ST, Oshkosh, WI 54901

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Miranda L. Peterson Otr is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981042249
PECOS Enrollment IDI20240404003750

Areas of Expertise CMS Part B claims 4

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.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
645 services26 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
418 services25 patients
Training for self-care or home management, each 15 minutes 97535
This service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.
391 services26 patients
Evaluation for occupational therapy, typically 45 minutes 97166
An evaluation for occupational therapy is a comprehensive assessment of your physical and mental abilities. In this 45-minute session, the therapist observes your skills and challenges in performing daily tasks. The goal is to identify ways to improve your independence and quality of life.
16 services16 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.

Speech-Language Pathologist
631 HAZEL ST
OSHKOSH, WI 54901
Occupational Therapist
631 HAZEL ST
OSHKOSH, WI 54901
Occupational Therapist
631 HAZEL ST
OSHKOSH, WI 54901
Assisted Living Facility
631 HAZEL ST
OSHKOSH, WI 54901
Clinic/Center (Multi-Specialty)
631 HAZEL ST
OSHKOSH, WI 54901
Physical Therapist
631 HAZEL ST
OSHKOSH, WI 54901
Physical Therapist
631 HAZEL ST
OSHKOSH, WI 54901
Speech-Language Pathologist
631 HAZEL ST
OSHKOSH, WI 54901

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 Miranda Peterson's NPI number?

The NPI number for Miranda Peterson is 1811757164. It was assigned to this individual provider in the NPPES registry on March 21, 2024.

Where is Miranda Peterson located?

Miranda Peterson practices at 631 Hazel St, Oshkosh, WI 54901. The listed phone number is (920) 252-4442.

What is Miranda Peterson's specialty?

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

Is Miranda Peterson enrolled in Medicare?

Yes. Miranda Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Miranda Peterson was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.