BENNET PETERSEN (MS, OTR/L) – Occupational Therapist, NPI 1700166295

Occupational Therapist

BENNET PETERSEN (MS, OTR/L) is a healthcare provider. based in North las vegas, Nevada. specializing in Occupational Therapist. They hold the professional credentials MS, OTR/L. They hold a License No. 6674-26 (WI). The NPI Number for BENNET PETERSEN (MS, OTR/L) is 1700166295

Main info

Male

7 Years Of Experience

Accepts Medicare Assignment

Name

BENNET PETERSEN (MS, OTR/L)

NPI

1700166295

Phone

(847) 380-0896

Address

3506 Jordan Ln

Enumeration Date

28 August 2011

Last Update Date

5 June 2020

Doctor Profile

Medical School Name

UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE

Secondary Phone

2629255020

Graduation Year

2019 (7 years ago)

PAC ID

9830511740

Group Practice PAC ID

2567765043

Professional Enrollment ID

I20200623001981

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for BENNET PETERSEN (MS, OTR/L)

3506 Jordan Ln
North Las Vegas, NV 890320516
Phone: (847) 380-0896
Type: Location
3921 30TH AVE STE C
KENOSHA, WI 531441957
Phone: (262) 925-5004
Fax: (262) 925-5001
Type: Mailing
10222 74TH ST STE 211
KENOSHA, WI 531426810
Phone: (262) 925-5020
Fax: (262) 925-5021
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 89032)

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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: 2567765043View full group profile

Name	Specialty	State
BRIAN HARDY II (DPT)	-	WI
CHRISTINE RADKE (DPT)	-	WI
BRITTANY SMART (DPT)	-	WI
JENNIFER ANN MONTEMURRO (PT, MPT)	-	WI
MR. JOHN FRANCIS SULLIVAN (DPT)	-	OH
TRACY MARIE BENSON (MOT, OTR/L, CHT)	-	IL
JOSEPH RICHARD PERRY	-	ID
CRYSTA CLARK (DPT)	-	WI

Reviews

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Frequently asked questions

What unique ID ties claims to BENNET PETERSEN (MS, OTR/L)?

NPI 1700166295 is assigned to BENNET PETERSEN (MS, OTR/L) under the national enumeration system.

Is BENNET PETERSEN (MS, OTR/L) currently active in the NPI registry?

CMS-published data lists BENNET PETERSEN (MS, OTR/L) as an active registrant.

What field does BENNET PETERSEN (MS, OTR/L) work in?

You can think of BENNET PETERSEN (MS, OTR/L) as practicing within Occupational Therapist. Clinical services aligned with this taxonomy classification.

Where is BENNET PETERSEN (MS, OTR/L)'s primary listing?

We display North Las Vegas, Nevada because that is what the record indicates for BENNET PETERSEN (MS, OTR/L).

Is BENNET PETERSEN (MS, OTR/L) a real provider?

This page reflects official NPPES data for NPI 1700166295. Always confirm identity and privileges with the practice and licensing boards.