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

Alexandria Nicole Peterson, DPT

Individual provider Physical Therapist · NPI 1629877394

Alexandria Nicole Peterson, DPT is a Physical Therapist in Private Practice in Memphis, Tennessee. Qualified in 2024, 2 years ago. Practices with MSK Group PC, a 139-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
2
Licensed in
TN
In the registry since
2025
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1244 Primacy Pkwy
Memphis, TN 38119-0201
Phone: (901) 767-8690
Fax: (901) 763-1942
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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 16163 (TN)

Record details

NPI number1629877394
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 13, 2025
Last updated in NPPESMarch 13, 2025
Certification dateMarch 13, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Msk Group Pc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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