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

Kevin Scott Petersen, PT/DPT

Individual provider Physical Therapist · NPI 1255861126

Kevin Scott Petersen, PT/DPT is a Physical Therapist in Private Practice in Altoona, Iowa. Qualified in 2017, 9 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
9
Licensed in
IA
In the registry since
2017
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Practice location Address checks out

3160 8th St SW Ste M&n
Altoona, IA 50009-1023
Phone: (515) 967-4580
Fax: (515) 967-4899
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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 086047 (IA)

Record details

NPI number1255861126
Entity typeIndividual (Type 1)
GenderMale
Credentials PT/DPT
Sole proprietorNo
NPI enumeratedJune 14, 2017
Last updated in NPPESJanuary 11, 2019

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Altoona