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MRS. CONSTANCE V PETERSON PT
NPI 1851323067
Physical Therapist - Pediatrics in Kingston, TN

Active since July 07, 2006
187 GALLAHER RD, KINGSTON, TN 37763(865) 376-4620(865) 376-1759 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Constance V Peterson Pt NPPES

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

MRS. CONSTANCE V PETERSON PT (NPI 1851323067) is an individual pediatrics provider in Kingston, Tennessee, licensed in Tennessee (1095) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1851323067
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameMRS. CONSTANCE V PETERSONCredential: PT
Location Address187 GALLAHER RDKingston, TN 37763-4721
Mailing Address211 Center Park Drive, Suite 3060Knoxville, TN 37922 · (865) 966-8545 · Fax (865) 966-3936
Phone(865) 376-4620
Fax(865) 376-1759
Sole ProprietorNo
Enumeration DateJuly 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1851323067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in TN · 1095
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
187 GALLAHER RD, Kingston, TN 37763
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Other Identifiers 2

Medicaid5440745TN
Other4005129TN · Bluecross Blueshield

Other Providers at the Same Location NPPES 17

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

MRS. JANEL DANOS BELL OTR L
Occupational Therapist (Pediatrics)
187 GALLAHER RD
KINGSTON, TN 37763
Roane County (865) 376-4620
REBECCA WILLIAMS OTR
Occupational Therapist
187 GALLAHER RD
KINGSTON, TN 37763
Roane County (865) 376-4620
MRS. KIMBERLY ALICE GOLDBOROUGH OTR
Occupational Therapist
187 GALLAHER RD
KINGSTON, TN 37763
Roane County (865) 376-4620
DIERDRE LOUISE CHARLETT
Physical Therapist (Pediatrics)
187 GALLAHER RD
KINGSTON, TN 37763
Roane County (865) 376-4620
RACHEL DAWN MITCHELL
Occupational Therapist
187 GALLAHER RD
KINGSTON, TN 37763
Roane County (865) 376-4620
MRS. JANE KITTRELL BRYANT OTR
Occupational Therapist (Pediatrics)
187 GALLAHER RD
KINGSTON, TN 37763
Roane County (865) 376-4620
NAN L WOODBURY O.T.
Occupational Therapist (Pediatrics)
187 GALLAHER RD
KINGSTON, TN 37763
Roane County (865) 376-4620
PATRICIA WINSTON KENNY MA, CCC-SLP
Speech-Language Pathologist
187 GALLAHER RD
KINGSTON, TN 37763
Roane County (865) 376-4620

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 Constance Peterson's NPI number?

The NPI number for Constance Peterson is 1851323067. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Constance Peterson located?

Constance Peterson practices at 187 Gallaher Rd, Kingston, TN 37763. The listed phone number is (865) 376-4620.

What is Constance Peterson's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Constance Peterson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.