KRISTIN KAY PETERSON (PHYSICAL THERAPIST) – Physical Therapist, NPI 1437132115

KRISTIN KAY PETERSON (PHYSICAL THERAPIST) is a healthcare provider. based in Central point, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PHYSICAL THERAPIST. They hold a License No. 4473 (OR). The NPI Number for KRISTIN KAY PETERSON (PHYSICAL THERAPIST) is 1437132115

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN KAY PETERSON (PHYSICAL THERAPIST)
NPI
1437132115
Phone
(541) 664-2800
Address
1217 PLAZA BLVD STE E
Enumeration Date
28 November 2005
Last Update Date
23 February 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5417731124
Graduation Year
2002 (24 years ago)
PAC ID
2264459585
Group Practice PAC ID
0042116279
Professional Enrollment ID
I20051026000824
Address ID
OR975046497ME1251XRDXX419
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

Provider Addresses for KRISTIN KAY PETERSON (PHYSICAL THERAPIST)

  • 1217 PLAZA BLVD STE E

    SUITE 130

    CENTRAL POINT, OR 975022682

    Phone: (541) 664-2800

    Fax: (541) 664-0555

    Type: Location

  • 16083, Southwest Upper Boones Ferry Road, Durham Road, Tigard, Metro, Washington County, Oregon, 97224, United States

    SUITE 300

    TIGARD, OR 972247736

    Phone: (800) 219-8835

    Fax: (503) 639-9699

    Type: Mailing

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: 2005-10-26

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
I20051026000824IPhysical 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities53657$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes35362$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes31046$0
97140Therapy procedure using manual technique, each 15 minutes17427$0
97162Evaluation for physical therapy, typically 30 minutes4037$0
View full utilization report →

Insurance plans in this area (ZIP 97502)

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Provider's Procedures

KRISTIN KAY PETERSON (PHYSICAL THERAPIST) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYOR97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes40056

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: 0042116279View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOR
-OR
-OR
Physical Therapist In Private PracticeOR
-OR
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

Reviews

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Frequently asked questions

Is there an official ID for KRISTIN KAY PETERSON (PHYSICAL THERAPIST) in U.S. healthcare records?
The official identifier for KRISTIN KAY PETERSON (PHYSICAL THERAPIST) is NPI 1437132115.
Would KRISTIN KAY PETERSON (PHYSICAL THERAPIST) appear as active to a payer?
You can treat KRISTIN KAY PETERSON (PHYSICAL THERAPIST) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is KRISTIN KAY PETERSON (PHYSICAL THERAPIST)?
KRISTIN KAY PETERSON (PHYSICAL THERAPIST) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for KRISTIN KAY PETERSON (PHYSICAL THERAPIST)?
Travel planning: use Central Point, Oregon as the reference point for KRISTIN KAY PETERSON (PHYSICAL THERAPIST), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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