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

Alexandra Peterson

Individual provider Physical Therapist · NPI 1043781776

Alexandra Peterson is a Physical Therapist in Private Practice in Mercer Island, Washington. Qualified in 2018, 8 years ago. Practices with Healthpro Heritage Rehab and Fitness LLC, a 990-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
8
Licensed in
WA
In the registry since
2018
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Practice location Address checks out

9150 Fortuna Dr
Mercer Island, WA 98040-3133
Phone: (206) 316-8042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 60910037 (WA)

Record details

NPI number1043781776
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 6, 2018
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025
Mailing address1614 20th Ave Unit C, Seattle, WA 98122-2895

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Healthpro Heritage Rehab And Fitness Llc — 990 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mercer Island