Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Russel Peterson

Individual provider Physical Therapist · NPI 1063444933

Russel Peterson is registered under Physical Therapist in Private Practice in Snowflake, Arizona. Qualified in 1996, 30 years ago. Practices with White Mountain Physical Therapy Ltd, a 15-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
30
Licensed in
AZ
In the registry since
2006
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Practice location Address checks out

420 S Main St
Snowflake, AZ 85937-5246 Not confirmed with CMS for 19 years — call before visiting
Phone: (928) 536-2357
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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 3705 (AZ)

Record details

NPI number1063444933
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESOctober 24, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice White Mountain Physical Therapy Ltd — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients118
Services billed 3,875 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at White Mountain Physical Therapy Ltd

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 15 clinicians in the practice; 12 are shown here.

Other providers in Snowflake