MRS. KRISTEN JEANELLE PETERSON (PT) – Physical Therapist, NPI 1669452629

MRS. KRISTEN JEANELLE PETERSON (PT) is a healthcare provider. based in Hermitage, Pennsylvania. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. PT017683 (PA). The NPI Number for MRS. KRISTEN JEANELLE PETERSON (PT) is 1669452629

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KRISTEN JEANELLE PETERSON (PT)
NPI
1669452629
Phone
(724) 962-7920
Address
1599 N HERMITAGE RD
Enumeration Date
18 January 2006
Last Update Date
17 April 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7249627920
Graduation Year
2005 (21 years ago)
PAC ID
2668498197
Group Practice PAC ID
5799879482
Professional Enrollment ID
I20051024000397
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

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Provider Addresses for MRS. KRISTEN JEANELLE PETERSON (PT)

  • 1599, North Hermitage Road, Lamonts Corners, Hermitage, Mercer County, Pennsylvania, 16148, United States

    HERMITAGE, PA 161483180

    Phone: (724) 962-7920

    Fax: (724) 962-6029

    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: 2005-10-24

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
I20051024000397IPhysical 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 16148)

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Provider's Procedures

MRS. KRISTEN JEANELLE PETERSON (PT) performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYPA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1301126

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
Physical Therapist In Private PracticePA

Reviews

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Frequently asked questions

What is the registry number for MRS. KRISTEN JEANELLE PETERSON (PT)?
The registry entry for MRS. KRISTEN JEANELLE PETERSON (PT) shows NPI 1669452629.
Quick check: is MRS. KRISTEN JEANELLE PETERSON (PT) active?
Public NPPES data shows MRS. KRISTEN JEANELLE PETERSON (PT) with an active NPI status right now.
What services align with MRS. KRISTEN JEANELLE PETERSON (PT)'s listing?
MRS. KRISTEN JEANELLE PETERSON (PT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. KRISTEN JEANELLE PETERSON (PT)?
MRS. KRISTEN JEANELLE PETERSON (PT) shows a connection to Hermitage, Pennsylvania in registry-derived data.
Who maintains MRS. KRISTEN JEANELLE PETERSON (PT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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