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

Ross Petersen, PT

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1982095097

Ross Petersen, PT is a Physical Therapist in Private Practice in Coralville, Iowa. Qualified in 2014, 12 years ago. Accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
12
Licensed in
IA
In the registry since
2015
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

3290 Ridgeway Dr Ste 3
Coralville, IA 52241-2023
Phone: (319) 665-2630
Fax: (319) 665-2631
Show map & directions

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 076269 (IA)

Record details

NPI number1982095097
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 11, 2015
Last updated in NPPESFebruary 11, 2015
Mailing address3290 Ridgeway Dr Ste 3, Coralville, IA 52241-2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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