Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Kenneth Ryan Petersen, DPT, CSCS

Physical Therapist in Twin Falls, ID · enumerated 2019.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1578129763

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Registry record

Entity type Individual (Type 1)

Name Mr. Kenneth Ryan Petersen

Credential DPT, CSCS

Sex Male

Practice address 754 N College Rd Ste D, Twin Falls, ID, 83301

Phone (208) 734-5313

Fax (208) 736-1582

Enumeration date May 14, 2019

Last updated in NPPES May 14, 2019

Taxonomy & licenses

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT6392 (ID) Primary

DPT · Doctor of Physical Therapy: A physical therapist holding the clinical doctorate now standard for the profession. About the DPT credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1578129763 active?

Yes, as of the latest NPPES snapshot, NPI 1578129763 is active (record last updated 2019-05-14).

How do I verify Kenneth Petersen's NPI record?

Cross-check NPI 1578129763 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-05-14.