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

Jonathon R Peterson, PT

Individual provider Physical Therapist · NPI 1003008525

Jonathon R Peterson, PT is a Physical Therapist in Private Practice in Park Rapids, Minnesota. Qualified in 2007, 19 years ago. Practices with St Marys Regional Health Center, a 188-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and North Dakota.

Years since qualifying
19
Licensed in
MN, ND
In the registry since
2007
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

705 Pleasant Ave S
Park Rapids, MN 56470-1440
Phone: (218) 732-2800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 900 E Broadway Ave, Bismarck, ND 58501-4520 — (701) 530-8200

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1585 (ND)
Physical Therapist Taxonomy 225100000X · Licence 7998 (MN)

Record details

NPI number1003008525
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 17, 2007
Last updated in NPPESJuly 21, 2022
Mailing address1702 University Dr S, Fargo, ND 58103-4940

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice St Marys Regional Health Center — 188 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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