IndividualActive
Bradley Petersen, PT, DPT
NPI 1780513416 · Physical Medicine & Rehabilitation Physician · Louisville, KY
Provider details
- NPI number
- 1780513416
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- License
- TP2026019 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9400 Williamsburg Plz Ste 100
Louisville, KY 40222-5097
Phone: (502) 412-4486
Fax: (502) 412-4490
Approximate (ZIP-level) locationGet directions
Mailing address
9400 Williamsburg Plz Ste 100
Louisville, KY 40222-5097
Registry dates
- Enumerated
- 2026-05-18
- Last updated
- 2026-05-18
- Certified
- 2026-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.