MICHAEL JOSEPH PETERSON PT DPT
NPI 1134575368
Physical Therapist in Overland Park, KS

Active since May 06, 2016
10730 NALL AVE STE 200, OVERLAND PARK, KS 66211(913) 574-1460(913) 574-1496 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 31, 2026, Jun 22, 2016 (2 updates tracked since 2016).

About Michael Joseph Peterson Pt Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL JOSEPH PETERSON PT DPT (NPI 1134575368) is an individual physical therapist in Overland Park, Kansas, licensed in Kansas (11-05436) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1134575368
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMICHAEL JOSEPH PETERSONCredential: PT DPT
Location Address10730 NALL AVE STE 200Overland Park, KS 66211-1285
Mailing Address10730 Nall Ave Ste 200Overland Park, KS 66211-1285 · (913) 574-1460 · Fax (913) 574-1496
Fax(913) 574-1496
Sole ProprietorNo
Enumeration DateMay 6, 2016
Last NPPES UpdateMarch 31, 20262 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
✔ NPI 1134575368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in KS · 11-05436
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
10730 NALL AVE STE 200, Overland Park, KS 66211

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Joseph Peterson Pt Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Michael Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
4000 CAMBRIDGE ST
Kansas City, KS 66160
  • Reassigned Medicare billing, Kansas enrollment
  • 2,139 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%60 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Athletic Trainer)
10730 NALL AVE STE 200
OVERLAND PARK, KS 66211
Family Medicine (Sports Medicine)
10730 NALL AVE STE 200
OVERLAND PARK, KS 66211
Psychologist
10730 NALL AVE STE 200
OVERLAND PARK, KS 66211
Family Medicine
10730 NALL AVE STE 200
OVERLAND PARK, KS 66211
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
10730 NALL AVE STE 200
OVERLAND PARK, KS 66211
Physical Therapist
10730 NALL AVE STE 200
OVERLAND PARK, KS 66211
Physical Therapist
10730 NALL AVE STE 200
OVERLAND PARK, KS 66211
Physical Therapist
10730 NALL AVE STE 200
OVERLAND PARK, KS 66211

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 Michael Peterson's NPI number?

The NPI number for Michael Peterson is 1134575368. It was assigned to this individual provider in the NPPES registry on May 6, 2016.

Where is Michael Peterson located?

Michael Peterson practices at 10730 Nall Ave Ste 200, Overland Park, KS 66211. The listed phone number is (913) 574-1460.

What is Michael Peterson's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Michael Peterson enrolled in Medicare?

Yes. Michael Peterson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Peterson reassigns Medicare benefits to Kansas University Physicians Inc (Kansas City, KS). 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 Michael Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Peterson accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. and Oscar Insurance Company list Michael Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Peterson was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.