MRS. MARY ANN PETERSON PT
NPI 1942429873
Physical Therapist - Pediatrics in Virginia Beach, VA

Q: What is Mary Peterson's NPI number?

The NPI number for Mary Peterson is 1942429873. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Q: What is Mary Peterson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary 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 April 25, 2007

2117 GENERAL BOOTH BLVD, VIRGINIA BEACH, VA 23454(757) 430-8739 Get Directions Write a Review

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

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About Mrs. Mary Ann Peterson Pt NPPES

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

MRS. MARY ANN PETERSON PT (NPI 1942429873) is an individual pediatrics provider in Virginia Beach, Virginia, licensed in Virginia (2305002139) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1942429873

Entity TypeIndividualFemale

Primary Taxonomy2251P0200X

Provider Legal NameMRS. MARY ANN PETERSONCredential: PT

Location Address2117 GENERAL BOOTH BLVDVirginia Beach, VA 23454-5803

Mailing Address3440 Archer CtVirginia Beach, VA 23452-5911 · (757) 498-9203

Phone(757) 430-8739

Sole ProprietorNo

Enumeration DateApril 25, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1942429873 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 VA · 2305002139

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.

2117 GENERAL BOOTH BLVD, Virginia Beach, VA 23454

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Other Identifiers 1

Other2305002139VA · State License Number

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.

MRS. JENNIFER ANN CRYAN MHS, OTR-L

Occupational Therapist (Pediatrics)