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Dr. Ethan E Peterson , DC

Chiropractor β€’ Lawrence, KS

Active NPI 1558112326 Individual Practitioner Male Practitioner
Practice location in NPPES

1311 Wakarusa Dr Ste 1000
Lawrence, KS 660491741

Call 7857491300 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1311 Wakarusa Dr Ste 1000

Lawrence, KS 660491741

Telephone 7857491300
Fax 7857494746
Organization at the Same NPPES Address or Phone
Therapy Works Inc Facility NPI 1497705321

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Peterson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Lawrence and Kansas

57 active clinicians are listed under Chiropractor with a practice address in Lawrence, KS (1,449 in Kansas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lawrence

0% of these 57 clinicians have the CMS telehealth indicator.

49.1% of these 57 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-02-26
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES MO 2024003248

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Kansas State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CHIROPRACTIC

Medicare Enrollment ID

I20240621003722

Enrollment State Jurisdiction

MO

PECOS Control ID

6507309267

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

11 listed
Amy Duckers , PT

Physical Therapist

NPI 1255779997

Physical Therapist

Sneha Deepak Ghuman , MSPT

Physical Therapist

NPI 1801623269

Master of Science in Physical Therapy

NPI 1598249781

Doctor of Physical Therapy

Cynthia Johnson , PT

Physical Therapist

NPI 1821043035

Physical Therapist

Dr. Banaka Okwuone , DPT

Physical Therapist

NPI 1386027456

Doctor of Physical Therapy

Dr. Laura Olson , DPT

Physical Therapist

NPI 1528664521

Doctor of Physical Therapy

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location February 26, 2025

Registered at 1311 WAKARUSA DR STE 1000, LAWRENCE, KS 660491741 (Tel: 7857491300)

πŸ“
Updated Business Mailing Address February 26, 2025

Registered at 1311 WAKARUSA DR STE 1000, LAWRENCE, KS 660491741 (Tel: 7859790690)

βœ…
NPI Profile Active March 29, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 29, 2024

Registered at 4049 PENNSYLVANIA AVE STE 100, KANSAS CITY, MO 641113022 (Tel: 8163014355)

πŸ“
Business Mailing Address (Initial Record) March 29, 2024

Registered at 1521 E 50TH ST, KANSAS CITY, MO 641102343 (Tel: 7859790690)

πŸ‘€
Provider Name / Credentials (Initial Record) March 29, 2024

Recorded as ETHAN PETERSON, DC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2024

Chiropractor (license number reported to NPPES: MO 2024003248)

🟒
Initial NPI Registration & Enumeration March 29, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1558112326
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2024
Last Update: February 26, 2025
Sole Proprietor: Yes

Other Chiropractors in Lawrence

All Chiropractors in Lawrence

Mailing Address

1311 Wakarusa Dr Ste 1000

Lawrence, KS 660491741

Phone: 7859790690

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.