DR. MITCHELL ALLEN PETERSON DPT
NPI 1659911089
Physical Therapist - Neurology in Saint Paul, MN
About Dr. Mitchell Allen Peterson Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MITCHELL ALLEN PETERSON DPT (NPI 1659911089) is an individual neurology provider in Saint Paul, Minnesota and active in the NPI registry since January 2020.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Mitchell Allen Peterson Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Mitchell Peterson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Paul, MN 55102
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 124 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.
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.
SAINT PAUL, MN 55103
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 Mitchell Peterson's NPI number?
The NPI number for Mitchell Peterson is 1659911089. It was assigned to this individual provider in the NPPES registry on January 14, 2020.
Where is Mitchell Peterson located?
Mitchell Peterson practices at 559 Capitol Blvd, Saint Paul, MN 55103. The listed phone number is (651) 232-2128.
What is Mitchell Peterson's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Neurology, with taxonomy code 2251N0400X.
Is Mitchell Peterson enrolled in Medicare?
Yes. Mitchell Peterson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Mitchell Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mitchell Peterson reassigns Medicare benefits to 3 organizations: Fairview Express Care (Saint Paul, MN), Fairview Specialty Services (Saint Paul, MN) and Healtheast Outpatient Services, LLC (Saint Paul, MN). Each 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 Mitchell 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 Mitchell Peterson was last updated on January 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Mitchell Allen Peterson, DPT · NPI 1659911089
Neurology provider in Saint Paul, Minnesota. Individual provider, active in the CMS NPPES registry since January 14, 2020.
## Identity
- **NPI:** 1659911089 (Entity type: Individual)
- **Enumerated:** January 14, 2020
- **Primary specialty:** Physical Therapist - Neurology · taxonomy 2251N0400X
- **Sole proprietor:** No
## Practice location
- **Address:** 559 CAPITOL BLVD, Saint Paul, MN 55103-2101
- **Phone:** (651) 232-2128
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Fairview Express Care (NPI 1275277204, Saint Paul, MN); Fairview Specialty Services (NPI 1912066218, Saint Paul, MN); Healtheast Outpatient Services, LLC (NPI 1225382526, Saint Paul, MN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 14, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1659911089) · Data from the CMS NPPES public registry.