BRUCE E PETERSON P.T.
NPI 1306844063
Physical Therapist in Longview, WA

Active since July 07, 2005
625 9TH AVENUE, SUITE 220, LONGVIEW, WA 98632(360) 578-1188(360) 578-6251 Get Directions Write a Review

NPPES record last updated: July 11, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bruce E Peterson P.t. NPPES

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

BRUCE E PETERSON P.T. (NPI 1306844063) is an individual physical therapist in Longview, Washington, licensed in Washington (PT00002292) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1306844063
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameBRUCE E PETERSONCredential: P.T.
Location Address625 9TH AVENUE, SUITE 220Longview, WA 98632-2544
Mailing Address625 9th Avenue, Suite 220Longview, WA 98632-2544 · (360) 578-1188 · Fax (360) 578-6251
Fax(360) 578-6251
Sole ProprietorYes
Enumeration DateJuly 7, 2005
Last NPPES UpdateJuly 11, 2007
✔ NPI 1306844063 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 WA · PT00002292
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.
625 9TH AVENUE, Longview, WA 98632

Other Identifiers 7

Other179681WA · Department Of Labor & Ind
Other8930118WA · Crime Victims
Other932823WA · First Health
OtherK465803WA · Pacific Source
Medicare ID-Type Unspecified8801685WA · Medicare Provider Number
Other113275WA · Kaiser Permanente
Medicaid8345589WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bruce E Peterson P.t. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Physical Therapist
625 9TH AVENUE, SUITE 220
Longview, WA 98632
  • Reassigned Medicare billing, Washington enrollment
  • 12 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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
766 services83 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
262 services55 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
240 services66 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
119 services62 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
62 services57 patients

Other Providers at the Same Location NPPES 3

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

Physical Therapist
625 9TH AVENUE, SUITE 220
LONGVIEW, WA 98632
Physical Therapist
625 9TH AVENUE, SUITE 220
LONGVIEW, WA 98632
Physical Therapist
625 9TH AVENUE, SUITE 220
LONGVIEW, WA 98632

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 Bruce Peterson's NPI number?

The NPI number for Bruce Peterson is 1306844063. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Bruce Peterson located?

Bruce Peterson practices at 625 9th Avenue Suite 220, Longview, WA 98632. The listed phone number is (360) 578-1188.

What is Bruce Peterson's specialty?

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

Is Bruce Peterson enrolled in Medicare?

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

Which organization bills Medicare for Bruce Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bruce Peterson reassigns Medicare benefits to Longview Physical And Sports Therapy Services Ps (Longview, WA). 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 Bruce Peterson'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 Bruce Peterson was last updated on July 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.