TIMOTHY R PETERSON (DPT) – Orthopedic Physical Therapist, NPI 1073231288

TIMOTHY R PETERSON (DPT) is a healthcare provider. based in Rocky hill, Connecticut. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 13659 (CT). The NPI Number for TIMOTHY R PETERSON (DPT) is 1073231288

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY R PETERSON (DPT)
NPI
1073231288
Phone
(860) 721-9801
Address
506 CROMWELL AVE STE 103
Enumeration Date
15 August 2022
Last Update Date
15 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8607219801
Graduation Year
2022 (4 years ago)
PAC ID
5597141879
Group Practice PAC ID
5294628582
Professional Enrollment ID
I20221011000803
Address ID
CT060671851RO506XXAVEX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,335 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CT

Provider Addresses for TIMOTHY R PETERSON (DPT)

  • 506 CROMWELL AVE STE 103

    ROCKY HILL, CT 060671851

    Phone: (860) 721-9801

    Fax: (860) 721-8475

    Mailing address matches the actual address.

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: 2022-10-11

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
I20221011000803IPhysical Therapist In Private PracticeCTTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes14138$0
97140Therapy procedure using manual technique, each 15 minutes11535$0
View full utilization report →

Insurance plans in this area (ZIP 06067)

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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: 5294628582View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT

Reviews

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Frequently asked questions

Is there an official ID for TIMOTHY R PETERSON (DPT) in U.S. healthcare records?
The official identifier for TIMOTHY R PETERSON (DPT) is NPI 1073231288.
Is there an active status for TIMOTHY R PETERSON (DPT)?
For scheduling context, TIMOTHY R PETERSON (DPT) is shown as active in the registry.
How would a patient describe TIMOTHY R PETERSON (DPT)'s focus?
For TIMOTHY R PETERSON (DPT), the primary taxonomy reads as Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for TIMOTHY R PETERSON (DPT)?
Travel planning: use Rocky Hill, Connecticut as the reference point for TIMOTHY R PETERSON (DPT), then confirm.
Does TIMOTHY R PETERSON (DPT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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