BRADLEY PETERSEN PT, DPT
NPI 1780513416
Physical Medicine & Rehabilitation in Louisville, KY
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
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)
Bradley Petersen Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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.
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.