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

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