CAROLYN PETERSON (DPT) – Physical Therapist, NPI 1548003296

CAROLYN PETERSON (DPT) is a healthcare provider. based in Mercer, Pennsylvania. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT032610 (PA). The NPI Number for CAROLYN PETERSON (DPT) is 1548003296

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
CAROLYN PETERSON (DPT)
NPI
1548003296
Phone
(724) 662-1776
Address
139 N. ERIE STREET
Enumeration Date
18 June 2024
Last Update Date
19 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7249463313
Graduation Year
2024 (2 years ago)
PAC ID
6204375645
Group Practice PAC ID
5799879482
Professional Enrollment ID
I20240828005299
Address ID
PA161423228NE565XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience16
Completeness75
Years active:1State licenses:1Digital endpointsOther names

4,253 PHYSICAL THERAPIST IN PRIVATE PRACTICE in PA

Provider Addresses for CAROLYN PETERSON (DPT)

  • 139 N. ERIE STREET

    STE.1

    MERCER, PA 16137

    Phone: (724) 662-1776

    Fax: (724) 662-1858

    Type: Mailing

  • 565 W. NESHANNOCK AVE

    NEW WILMINGTON, PA 16142

    Phone: (724) 946-3313

    Fax: (724) 946-2770

    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: 2024-08-28

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
I20240828005299IPhysical Therapist In Private PracticePATBD

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 16137)

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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: 5799879482View full group profile
NameSpecialtyState
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Qualified Speech Language PathologistPA
-PA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
-PA

Reviews

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Frequently asked questions

What is CAROLYN PETERSON (DPT)'s NPI number?
CAROLYN PETERSON (DPT)'s NPI is 1548003296 — the number used across U.S. healthcare to identify this provider.
Would CAROLYN PETERSON (DPT) appear as active to a payer?
You can treat CAROLYN PETERSON (DPT) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe CAROLYN PETERSON (DPT)'s focus?
For CAROLYN PETERSON (DPT), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with CAROLYN PETERSON (DPT)?
Directory geography for CAROLYN PETERSON (DPT) centers on Mercer, Pennsylvania.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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