Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deniece P Petersen, DPT

Individual provider Physical Therapist · NPI 1083025571

Deniece P Petersen, DPT is a Physical Therapist in Private Practice in Broken Bow, Nebraska. Qualified in 2011, 15 years ago. Practices with Faith Regional Health Services, a 20-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
15
Licensed in
NE
In the registry since
2014
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

325 S 1st Ave
Broken Bow, NE 68822-0435
Phone: (308) 872-5111
Fax: (308) 872-5115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2999 (NE)

Record details

NPI number1083025571
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 19, 2014
Last updated in NPPESApril 21, 2017
Mailing address325 S 1st Ave, P.O. Box 435, Broken Bow, NE 68822-0435

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Faith Regional Health Services — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Broken Bow