ROBERT PETERSON (PT, DPT) – Physical Therapist, NPI 1164943080
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
841 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NE
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Provider Addresses for ROBERT PETERSON (PT, DPT)
Industrial Road, Industrial Road Industries, Millard, Omaha, Douglas County, Nebraska, 68137, United States
OMAHA, NE 681371124
Phone: (402) 330-3211
Fax: (402) 330-5970
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.
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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: 2017-07-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170714001523 | I | Physical Therapist In Private Practice | NE | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 1,617 | 72 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 975 | 72 | $0 |
| 97113 | Therapy procedure using water pool to exercises, each 15 minutes | 849 | 30 | $0 |
| 97530 | Therapy procedure using functional activities | 531 | 53 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 367 | 49 | $0 |
Insurance plans in this area (ZIP 68137)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NE | |
| - | AK | |
| - | NE | |
| Physical Therapist In Private Practice | NE | |
| - | NE | |
| Physical Therapist In Private Practice | NE | |
| - | NE | |
| Qualified Speech Language Pathologist | NE | |
| Physical Therapist In Private Practice | NE | |
| - | NE |
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