MATTHEW BAIN PETERSEN DPT
NPI 1023933462
Physical Therapist in Mishawaka, IN
About Matthew Bain Petersen Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW BAIN PETERSEN DPT (NPI 1023933462) is an individual physical therapist in Mishawaka, Indiana, licensed in Indiana (05016475A) and active in the NPI registry since August 2026. He maintains 2 additional practice locations and is a graduate of Other (2026).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Matthew Bain Petersen Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Matthew Petersen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mishawaka, IN 46544
- Reassigned Medicare billing, Indiana enrollment
- 29 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Matthew Petersen's NPI number?
The NPI number for Matthew Petersen is 1023933462. It was assigned to this individual provider in the NPPES registry on August 13, 2026.
Where is Matthew Petersen located?
Matthew Petersen practices at 200 N Church St Ste 101, Mishawaka, IN 46544. The listed phone number is (574) 807-9995.
What is Matthew Petersen's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Matthew Petersen enrolled in Medicare?
Yes. Matthew Petersen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Matthew Petersen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Petersen reassigns Medicare benefits to Rci (wrs), LLC. (Mishawaka, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Petersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Matthew Petersen was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.