Mark Petersen, PT,DPT,OCS,ATC is a
Physical Therapist based in Platte, South Dakota. Mark Petersen is licensed to practice in South Dakota (license number 1185) and his current practice location is
601 E 7th St, Platte, South Dakota. He can be reached at his office (for appointments etc.) via phone at
(605) 337-3364.
NPI number for Mark Petersen is 1295181097 and his current mailing address is 601 E 7th St, Platte, South Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295181097.
Healthcare Provider's Profile
| Full Name | Mark Petersen |
|---|
| Gender | Male |
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| Speciality | Physical Therapist |
|---|
| Location | 601 E 7th St, Platte, South Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1295181097
- Provider Enumeration Date: 05/11/2016
- Last Update Date: 05/11/2016
Medical Identifiers
Medical identifiers for Mark Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295181097 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 1185 (South Dakota) | Primary |
| 225100000X | Physical Therapist | 8730 (Minnesota) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Petersen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mark Petersen, PT,DPT,OCS,ATC
601 E 7th St,
Platte, SD 57369-2123
Ph: (605) 337-3364 | Mark Petersen, PT,DPT,OCS,ATC
601 E 7th St,
Platte, SD 57369-2123
Ph: (605) 337-3364 |
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