McKayla Petersen, PT, DPT
NPI 1114454923ActiveIndividual· Physical Therapist· Grafton, ND
Physical Therapist (PT, DPT) in Grafton, North Dakota, licensed in ND, with an NPI issued in May 2017. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1114454923 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | May 11, 2017 |
| Last updated in NPPES | Aug 27, 2021 |
| Certified by provider | Aug 27, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2110 | ND |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (ND) |
|---|
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