Kenneth Petersen, DPT, CSCS
NPI 1578129763 · Physical Therapist · Twin Falls, ID
Kenneth Petersen, DPT, CSCS is a Physical Therapist provider in Twin Falls, ID (NPI 1578129763).
Provider details
- NPI number
- 1578129763
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT, CSCS
- Sex
- Male
- Sole proprietor
- No
- License
- PT6392 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-05-14
- Last updated
- 2019-05-14
Frequently asked questions
- What is Kenneth Petersen's NPI number?
- Kenneth Petersen's National Provider Identifier (NPI) is 1578129763, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Petersen's specialty?
- Kenneth Petersen is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kenneth Petersen located?
- Kenneth Petersen's practice location on file with NPPES is 754 N College Rd Ste D, Twin Falls, ID 83301-5822.
- What is Kenneth Petersen's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Petersen is (208) 734-5313.
- Is Kenneth Petersen's NPI active?
- Yes — Kenneth Petersen's NPI (1578129763) is active in the NPPES registry as of the last update on 2019-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.