Karissa Peterson
Physical Therapist · Maynardville, TN
Karissa Peterson is a physical therapist with a practice address in Maynardville, Tennessee, and NPI 1104696384, issued on Jan 8, 2024. Check the license (Tennessee 15542, as entered in NPPES) with the Tennessee board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Karissa Peterson
- Primary taxonomy
- Physical Therapist 225100000X
- License numbers
- 15542 TN
13293 MN
Self-reported in NPPES; status is on the state search - Practice location
- 4356 Maynardville Hwy Ste 3, Maynardville, TN 37807
- Phone
- (865) 630-9030
- Enumerated
- Jan 8, 2024
- Record last updated
- Dec 17, 2024
- Medicare enrollment
- Enrolled (PECOS I20251106004636); accepts Medicare assignment
- Medical or professional school
- University Of North Dakota School Of Medicine, 2023
- Entity
- Type 1 · individual
8 nearest physical therapist records → All 5,363 in Tennessee → Look up another NPI →
Also registered at 4356 Maynardville Hwy Ste 3
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Hannah Wilford, DPTPhysical Therapist1982419586
Verify Karissa Peterson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Tennessee board licenses this profession
Search for license 15542Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Premier Obgyn OF Minnesota PLLCMaple Grove, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Karissa Peterson among 5,363 physical therapist records in Tennessee
Karissa Peterson is one of 5,363 physical therapist records with a practice address in Tennessee. 36% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 87% of them.
- NPI issued2024 · 87% of these records are older, 7% newer
- In a Medicare fileYes · 36% of these records are
- In the CMS Doctors and Clinicians fileYes · 36% of these records are
- Graduated2023 · median 2017 among the 1,950 with a school on file
- Record last updated2024 · 59% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a Tennessee practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
6 physical therapist records list a practice address in Maynardville
They are 6 of the 149 NPPES records with a practice address in Maynardville, and 5,363 physical therapist records in Tennessee.
All 5,363 in Tennessee → Every provider in Maynardville → Physical Therapist nationwide →
The 8 physical therapist records with the nearest ZIP codes
- Agnes Abella, P.T.Maynardville, TN 378071780678987
- Dale Corum, PTMaynardville, TN 378071982624250
- Amy Johnson, PT DPTMaynardville, TN 378071376176867
- Katie Robinson, PT, DPTMaynardville, TN 378071295553303
- Hannah Wilford, DPTMaynardville, TN 378071982419586
- Devin Bastian, DPT, PTMaryville, TN 378041700569100
- Carl Black, PT, SCS, ATCMaryville, TN 378041861560518
- Gabriel Cole, P.T.Maryville, TN 378041023560224
Common questions
What is Karissa Peterson's NPI number?
Karissa Peterson's National Provider Identifier (NPI) is 1104696384, issued on Jan 8, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Karissa Peterson located?
The NPPES record lists a practice address at 4356 Maynardville Hwy Ste 3, Maynardville, TN, 37807. Phone: (865) 630-9030. Providers update this record themselves, so call before visiting.
How can I verify Karissa Peterson's license?
NPPES lists Tennessee license number 15542, as entered by the provider. Search the Tennessee board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.