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

Susan Petersen, MPT

Individual provider Physical Therapist · NPI 1235508581

Susan Petersen, MPT is a Physical Therapist in Private Practice in Costa Mesa, California. Qualified in 1992, 34 years ago. Practices with California Luna Care Physical Therapy PC, a 773-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
34
Licensed in
CA
In the registry since
2015
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

2012 Phalarope Ct
Costa Mesa, CA 92626-4734
Phone: (714) 580-2868
Fax: (714) 241-1007
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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 18793 (CA)

Record details

NPI number1235508581
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPT
Sole proprietorYes
NPI enumeratedSeptember 16, 2015
Last updated in NPPESSeptember 16, 2015

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice California Luna Care Physical Therapy Pc — 773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Costa Mesa