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

Alexander Lee Peterson, D-PT

Individual provider Physical Therapist · NPI 1013641604

Alexander Lee Peterson, D-PT is a Physical Therapist in Private Practice in Green Bay, Wisconsin. Qualified in 2022, 4 years ago. Practices with Bellin Memorial Hospital Inc, a 681-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

3263 Eaton Rd
Green Bay, WI 54311-6830
Phone: (920) 433-6700
Fax: (920) 433-6719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 964 W Ryan St, Brillion, WI 54110-1076 — (920) 756-2055
  • 1970 S Ridge Rd, Green Bay, WI 54304-4125 — (920) 430-4888
  • 820 Arbutus Ave, Oconto, WI 54153-2004 — (920) 835-1100

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 16062-24 (WI)
Physical Therapist Taxonomy 225100000X · Licence 16024-24 (WI)

Record details

NPI number1013641604
Entity typeIndividual (Type 1)
GenderMale
Credentials D-PT
Sole proprietorNo
NPI enumeratedJuly 11, 2022
Last updated in NPPESSeptember 26, 2022
Certification dateSeptember 26, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Bellin Memorial Hospital Inc — 681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Green Bay