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DR. ROBERT TODD PETERSEN DC, OPAC, ATC, LAT
NPI 1811917172
Chiropractor - Sports Physician in Dallas, TX

Active since July 20, 2006Accepts Medicare Assignment
3408 MILTON AVE, DALLAS, TX 75205(214) 739-2225(214) 739-2228 Get Directions Write a Review

NPPES record last updated: October 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Robert Todd Petersen Dc, Opac, Atc, Lat NPPES

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

DR. ROBERT TODD PETERSEN DC, OPAC, ATC, LAT (NPI 1811917172) is an individual sports physician in Dallas, Texas, licensed in Texas (9289) and active in the NPI registry since July 2006. He is a graduate of Other (2002).

NPPES Registry Identity

NPI1811917172
Entity TypeIndividualMale
Primary Taxonomy111NS0005X
Provider Legal NameDR. ROBERT TODD PETERSENCredential: DC, OPAC, ATC, LAT
Location Address3408 MILTON AVEDallas, TX 75205-1338
Mailing Address3408 Milton AveDallas, TX 75205-1338 · (214) 739-2225 · Fax (214) 739-2228
Phone(214) 739-2225
Fax(214) 739-2228
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 20, 2006
Last NPPES UpdateOctober 30, 2014
✔ NPI 1811917172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
Licenses✔ Licensed in TX · 9289✔ Licensed in UT · 5118449-1202
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
Also ListedPhysician AssistantTaxonomy 363A00000X
3408 MILTON AVE, Dallas, TX 75205
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Other Identifiers 1

Other607194TX · Bcbs Id Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Robert Todd Petersen Dc, Opac, Atc, Lat is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406930759
PECOS Enrollment IDI20080225000633

Areas of Expertise CMS Part B claims

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.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
1,128 services130 patients

Other Providers at the Same Location NPPES

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

PARK CITIES CHIROSPORT INC
Chiropractor (Rehabilitation)
3408 MILTON AVE
DALLAS, TX 75205
Dallas County (214) 739-2225

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 Robert Petersen's NPI number?

The NPI number for Robert Petersen is 1811917172. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Robert Petersen located?

Robert Petersen practices at 3408 Milton Ave, Dallas, TX 75205. The listed phone number is (214) 739-2225.

What is Robert Petersen's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Robert Petersen enrolled in Medicare?

Yes. Robert Petersen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Robert Petersen accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Robert Petersen 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 Robert Petersen was last updated on October 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.