DR. ROBERT TODD PETERSEN (DC, OPAC, ATC, LAT) – Sports Physician Chiropractor, NPI 1811917172

DR. ROBERT TODD PETERSEN (DC, OPAC, ATC, LAT) is a healthcare provider. based in Dallas, Texas. specializing in CHIROPRACTIC. They hold the professional credentials DC, OPAC, ATC, LAT. They hold a License No. 9289 (TX). The NPI Number for DR. ROBERT TODD PETERSEN (DC, OPAC, ATC, LAT) is 1811917172

Main info

Male
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT TODD PETERSEN (DC, OPAC, ATC, LAT)
NPI
1811917172
Phone
(214) 739-2225
Address
3408 MILTON AVE
Enumeration Date
20 July 2006
Last Update Date
30 October 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2147392225
Graduation Year
2002 (24 years ago)
PAC ID
6406930759
Professional Enrollment ID
I20080225000633
Address ID
TX752254201DA6711XHWYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,126 CHIROPRACTIC in TX

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Provider Addresses for DR. ROBERT TODD PETERSEN (DC, OPAC, ATC, LAT)

  • 3408, Milton Avenue, University Park, Dallas County, Texas, 75205, United States

    DALLAS, TX 752051338

    Phone: (214) 739-2225

    Fax: (214) 739-2228

    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: 2008-02-25

PECOS data refreshed: 2026-06-15

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
I20080225000633IChiropracticTXTBD

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
98941Chiropractic manipulative treatment, 3-4 spinal regions58780$0
View full utilization report →

Insurance plans in this area (ZIP 75205)

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Reviews

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Frequently asked questions

How is DR. ROBERT TODD PETERSEN (DC, OPAC, ATC, LAT) identified in CMS data?
CMS-hosted NPPES data lists DR. ROBERT TODD PETERSEN (DC, OPAC, ATC, LAT) with NPI 1811917172.
Is DR. ROBERT TODD PETERSEN (DC, OPAC, ATC, LAT) listed as active for patients and plans?
The listing shows DR. ROBERT TODD PETERSEN (DC, OPAC, ATC, LAT) as active in the NPI system.
What healthcare role does DR. ROBERT TODD PETERSEN (DC, OPAC, ATC, LAT) hold?
Scheduling teams often label DR. ROBERT TODD PETERSEN (DC, OPAC, ATC, LAT) under Sports Physician Chiropractor. Clinical services aligned with this taxonomy classification.
Where should I expect DR. ROBERT TODD PETERSEN (DC, OPAC, ATC, LAT) on a map?
Expect Dallas, Texas as a primary anchor for DR. ROBERT TODD PETERSEN (DC, OPAC, ATC, LAT) unless the record lists multiple sites.
Is the information about DR. ROBERT TODD PETERSEN (DC, OPAC, ATC, LAT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."