JULIE PETERSON (PT) – Physical Therapist, NPI 1215924279

JULIE PETERSON (PT) is a healthcare provider. based in Edwards, Colorado. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 9111 (CO). The NPI Number for JULIE PETERSON (PT) is 1215924279

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
JULIE PETERSON (PT)
NPI
1215924279
Phone
(970) 569-3883
Address
PO BOX 4828
Enumeration Date
4 October 2005
Last Update Date
2 February 2012

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
5413838179
Graduation Year
2005 (21 years ago)
PAC ID
9638196330
Group Practice PAC ID
0345289757
Professional Enrollment ID
I20240404004207
Address ID
OR977014346BE330XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,988 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CO

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Provider Addresses for JULIE PETERSON (PT)

  • Edwards Post Office, Kinchelde Avenue, Edwards, Kern County, California, 93523, United States

    EDWARDS, CO 816324828

    Phone: (970) 569-3883

    Fax: (970) 569-3884

    Type: Mailing

  • Edwards Village Boulevard, Edwards Village, Edwards, Eagle County, Colorado, 81632, United States

    EDWARDS, CO 816324828

    Phone: (970) 569-3883

    Fax: (970) 569-3884

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240404004207IPhysical Therapist In Private PracticeORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81632)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345289757View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
-OR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What is JULIE PETERSON (PT)'s NPI number?
JULIE PETERSON (PT)'s NPI is 1215924279 — the number used across U.S. healthcare to identify this provider.
Is there an active status for JULIE PETERSON (PT)?
For scheduling context, JULIE PETERSON (PT) is shown as active in the registry.
What expertise is attributed to JULIE PETERSON (PT)?
JULIE PETERSON (PT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JULIE PETERSON (PT)?
Travel planning: use Edwards, Colorado as the reference point for JULIE PETERSON (PT), then confirm.
When was this NPI issued?
Enumeration for JULIE PETERSON (PT) is noted as October 4, 2005 where the registry provides it.

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