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

Talia Petersen, DPT

Individual provider Physical Therapist · NPI 1306574884

Talia Petersen, DPT is a Physical Therapist in Private Practice in Kihei, Hawaii. Qualified in 2022, 4 years ago. Practices with Venture Physical Therapy LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Hawaii.

Years since qualifying
4
Licensed in
HI
In the registry since
2022
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

101 Kanani Rd
Kihei, HI 96753-6805
Phone: (808) 633-4480
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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 5509 (HI)

Record details

NPI number1306574884
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 11, 2022
Last updated in NPPESAugust 11, 2022
Certification dateAugust 11, 2022
Mailing address977 Slate Dr, Santa Rosa, CA 95405-5592

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Venture Physical Therapy Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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