BRIAN L PETERSON (DPT) – Physical Therapist, NPI 1144655937
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,991 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI
Provider Addresses for BRIAN L PETERSON (DPT)
PO BOX 22487
GREEN BAY, WI 543052487
Phone: (920) 445-7222
Fax: (920) 445-7289
Type: Mailing
2820 ROOSEVELT RD
MARINETTE, WI 541433834
Phone: (715) 735-5225
Fax: (715) 732-5388
Type: Location
820 Arbutus Ave
Oconto, WI 541532004
Phone: (920) 835-1100
Fax: (920) 835-1099
Type: Location
744 S Webster Ave
Green Bay, WI 543013505
Phone: (920) 445-7222
Fax: (920) 445-7289
Type: Location
218 S Hwy 141
Crivitz, WI 541141677
Phone: (715) 854-7761
Fax: (715) 854-7785
Type: Location
107 E Highland Dr
Oconto Falls, WI 541541002
Phone: (920) 846-3092
Fax: (920) 846-8313
Type: Location
107 E HIGHLAND DR
OCONTO FALLS, WI 541541002
Phone: (920) 846-3092
Fax: (920) 846-8313
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: 2013-11-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (923 days ago).
Enrollment records
1
Earliest due date
2023-11-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131114000164 | I | Physical Therapist In Private Practice | WI | 2023-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 321 | 57 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 292 | 49 | $0 |
| 97530 | Therapy procedure using functional activities | 147 | 28 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 111 | 35 | $0 |
| 97535 | Training for self-care or home management, each 15 minutes | 42 | 28 | $0 |
Insurance plans in this area (ZIP 54305)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| - | WI | |
| - | WI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| Nurse Practitioner | WI | |
| E N D O C R I N O L O G Y | WI | |
| - | WI | |
| - | WI | |
| Nurse Practitioner | WI |
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