MR. PETER L ERICKSON (PT) – Physical Therapist, NPI 1194892760

MR. PETER L ERICKSON (PT) is a healthcare provider. based in Bonney lake, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT6345 (WA). The NPI Number for MR. PETER L ERICKSON (PT) is 1194892760

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
MR. PETER L ERICKSON (PT)
NPI
1194892760
Phone
(253) 826-8520
Address
21525 HWY 410 E STE B
Enumeration Date
29 November 2006
Last Update Date
20 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3608026757
Graduation Year
1994 (32 years ago)
PAC ID
8921912320
Group Practice PAC ID
9739237595
Professional Enrollment ID
I20071026000131
Address ID
WA980222362EN2726XAVEX304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

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Provider Addresses for MR. PETER L ERICKSON (PT)

  • 21525 HWY 410 E STE B

    BONNEY LAKE, WA 983914101

    Phone: (253) 826-8520

    Fax: (253) 826-8522

    Type: Mailing

  • Old Sumner Buckley Highway, Bonney Lake, Pierce County, Washington, 98391, United States

    SUITE B

    BONNEY LAKE, WA 983914101

    Phone: (253) 826-8520

    Fax: (253) 826-8522

    Type: Location

  • Griffin Avenue, Enumclaw, King County, Washington, 98022, United States

    ENUMCLAW, WA 980222362

    Phone: (360) 802-6757

    Fax: (360) 802-6756

    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: 2007-10-26

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
I20071026000131IPhysical Therapist In Private PracticeWATBD

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 activities1,727218$0
97140Therapy procedure using manual technique, each 15 minutes1,218180$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care823140$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes706129$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes534131$0
View full utilization report →

Insurance plans in this area (ZIP 98391)

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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: 9739237595View full group profile
NameSpecialtyState
-WA
Physical Therapist In Private PracticeAZ
-WA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeWA
-WA

Reviews

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Frequently asked questions

How do I look up MR. PETER L ERICKSON (PT) by NPI?
Use NPI 1194892760 when you need to reference MR. PETER L ERICKSON (PT) in forms, claims, or directories.
Is MR. PETER L ERICKSON (PT) active in the national directory?
MR. PETER L ERICKSON (PT)'s public NPI profile is in an active state.
What field does MR. PETER L ERICKSON (PT) work in?
You can think of MR. PETER L ERICKSON (PT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is MR. PETER L ERICKSON (PT)'s primary listing?
We display Bonney Lake, Washington because that is what the record indicates for MR. PETER L ERICKSON (PT).
Is MR. PETER L ERICKSON (PT) a real provider?
This page reflects official NPPES data for NPI 1194892760. Always confirm identity and privileges with the practice and licensing boards.

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