Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Jeremiah Brad Petersen, PTA
Specialist in Greendale, WI · enumerated 2010.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1760797203
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Registry record
Entity type Individual (Type 1)
Name Jeremiah Brad Petersen
Credential PTA
Sex Male
Practice address 5900 Mockingbird Ln, Greendale, WI, 53129
Phone (414) 423-1399
Enumeration date Aug 9, 2010
Last updated in NPPES Dec 27, 2012
Taxonomy & licenses
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Jeremiah Petersen?
Jeremiah Petersen is registered in NPPES with the primary taxonomy of Specialist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-12-27.