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

Alexander Ryan Peterson

Individual provider Physical Therapist · NPI 1023994381

Alexander Ryan Peterson is a Physical Therapist in Private Practice in Edmond, Oklahoma. Qualified in 2025, 1 year ago. Practices with Ptms 3.0 LLC, a 114-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
1
Licensed in
OK
In the registry since
2025

Practice location Address checks out

15101 Lleytons Ct Ste 102
Edmond, OK 73013-2248
Phone: (405) 726-1580
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 6483 (OK)

Record details

NPI number1023994381
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 13, 2025
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025
Mailing address1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Ptms 3.0 Llc — 114 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Edmond