BRADLEY PETERSEN PT, DPT
NPI 1780513416
Physical Medicine & Rehabilitation in Louisville, KY

Active since May 18, 2026
9400 WILLIAMSBURG PLZ STE 100, LOUISVILLE, KY 40222(502) 412-4486(502) 412-4490 Get Directions Write a Review

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

About Bradley Petersen Pt, Dpt NPPES

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

BRADLEY PETERSEN PT, DPT (NPI 1780513416) is an individual physical medicine & rehabilitation provider in Louisville, Kentucky, licensed in Kentucky (TP2026019) and active in the NPI registry since May 2026. He is a graduate of Other (2026).

NPPES Registry Identity

NPI1780513416
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameBRADLEY PETERSENCredential: PT, DPT
Location Address9400 WILLIAMSBURG PLZ STE 100Louisville, KY 40222-5097
Mailing Address9400 Williamsburg Plz Ste 100Louisville, KY 40222-5097 · (502) 412-4486 · Fax (502) 412-4490
Fax(502) 412-4490
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMay 18, 2026
NPPES CertifiedMay 18, 2026
✔ NPI 1780513416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License✔ Licensed in KY · TP2026019
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
9400 WILLIAMSBURG PLZ STE 100, Louisville, KY 40222

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bradley Petersen Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103386727
PECOS Enrollment IDI20260902004516

Medicare Billing Reassignment

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

Physical Therapy
9400 WILLIAMSBURG PLZ, SUITE 100
Louisville, KY 40222
  • Reassigned Medicare billing, Kentucky enrollment
  • 17 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.

Other Providers at the Same Location NPPES 2

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

Physical Medicine & Rehabilitation
9400 WILLIAMSBURG PLZ STE 100
LOUISVILLE, KY 40222
Physical Therapist
9400 WILLIAMSBURG PLZ STE 100
LOUISVILLE, KY 40222

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 Bradley Petersen's NPI number?

The NPI number for Bradley Petersen is 1780513416. It was assigned to this individual provider in the NPPES registry on May 18, 2026.

Where is Bradley Petersen located?

Bradley Petersen practices at 9400 Williamsburg Plz Ste 100, Louisville, KY 40222. The listed phone number is (502) 412-4486.

What is Bradley Petersen's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Bradley Petersen enrolled in Medicare?

Yes. Bradley Petersen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bradley Petersen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Petersen reassigns Medicare benefits to Advanced Orthopaedic Physical Therapy, Psc (Louisville, KY). 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 Bradley 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 Bradley Petersen was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.