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

Kelly Petersen, DPT

Individual provider Physical Therapist · NPI 1538847801

Kelly Petersen, DPT is a Physical Therapist in Private Practice in Milford, Pennsylvania. Qualified in 2023, 3 years ago. Practices with DPT Holdings LLC, a 167-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2023
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

100 Wheatfield Dr Ste 1
Milford, PA 18337-7699
Phone: (570) 296-5911
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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 PT031598 (PA)

Record details

NPI number1538847801
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 7, 2023
Last updated in NPPESAugust 4, 2023
Certification dateAugust 4, 2023
Mailing address1200 Corporate Dr Ste 400, Hoover, AL 35242-5424

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Dpt Holdings Llc — 167 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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