MICHAIL PETERSON OTD, OTR/L
NPI 1992316509
Occupational Therapist in Ankeny, IA

Active since August 17, 2020
2455 SW STATE ST, ANKENY, IA 50023(515) 963-4528 Get Directions Write a Review

NPPES record last updated: August 17, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Michail Peterson Otd, Otr/l NPPES

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

MICHAIL PETERSON OTD, OTR/L (NPI 1992316509) is an individual occupational therapist in Ankeny, Iowa, licensed in Iowa (097021) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1992316509
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMICHAIL PETERSONCredential: OTD, OTR/L
Location Address2455 SW STATE STAnkeny, IA 50023-1277
Mailing Address4516 Ep True Pkwy Apt 208West Des Moines, IA 50265-7615 · (515) 360-2002
Sole ProprietorYes
Enumeration DateAugust 17, 2020
NPPES CertifiedAugust 17, 2020
✔ NPI 1992316509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in IA · 097021
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
2455 SW STATE ST, Ankeny, IA 50023

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michail Peterson Otd, Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Michail Peterson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapy
1450 SW VINTAGE PKWY
Ankeny, IA 50023
  • Reassigned Medicare billing, Iowa enrollment
  • Medicare enrollment name: Physiotherapy Associates Inc
  • 80 clinicians in this Medicare group
Rehabilitation
130 MAIN ST W
State Center, IA 50247
  • Reassigned Medicare billing, Iowa enrollment
  • 60 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 7

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

Physical Therapist
2455 SW STATE ST
ANKENY, IA 50023
Speech-Language Pathologist
2455 SW STATE ST
ANKENY, IA 50023
Speech-Language Pathologist
2455 SW STATE ST
ANKENY, IA 50023
Physical Therapist (Pediatrics)
2455 SW STATE ST
ANKENY, IA 50023
Physical Therapist
2455 SW STATE ST
ANKENY, IA 50023
Occupational Therapist
2455 SW STATE ST
ANKENY, IA 50023
Physical Medicine & Rehabilitation
2455 SW STATE ST
ANKENY, IA 50023

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 Michail Peterson's NPI number?

The NPI number for Michail Peterson is 1992316509. It was assigned to this individual provider in the NPPES registry on August 17, 2020.

Where is Michail Peterson located?

Michail Peterson practices at 2455 SW State St, Ankeny, IA 50023. The listed phone number is (515) 963-4528.

What is Michail Peterson's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Michail Peterson enrolled in Medicare?

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

Which organizations bill Medicare for Michail Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michail Peterson reassigns Medicare benefits to 2 organizations: Physiotherapy Assoicates, Inc. (Ankeny, IA) and Central Iowa Physio, LLC (State Center, IA). 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 Michail Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michail Peterson accept?

Health plans from Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Michail Peterson 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 Michail Peterson was last updated on August 17, 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.