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

Peterson Mwangi

Individual provider Physical Therapist · NPI 1285099572

Peterson Mwangi is a Physical Therapist in Private Practice in Edmond, Oklahoma. Qualified in 2015, 11 years ago. Accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
11
Licensed in
OK
In the registry since
2015

Practice location Address checks out

19612 Danforth Farms Blvd
Edmond, OK 73012-3473
Phone: (405) 650-5946
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5005 (OK)

Record details

NPI number1285099572
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 31, 2015
Last updated in NPPESNovember 8, 2020
Certification dateNovember 8, 2020
Mailing address19612 Danforth Farms Blvd, Edmond, OK 73012-3473

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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