Doctor profile · Federal record
Dr. Russel Peterson
Physical Therapist (CMS: Physical Therapist in Private Practice) · Snowflake, AZ
- NPI 1063444933
- Accepts Medicare
- 30 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
420 S Main St
Snowflake, AZ 859375246
(928) 536-2357 - Mailing address
-
2650 E Show Low Lake RD, Suite 3
Show Low, AZ 859017955
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- October 24, 2007
- Year of graduation
- 1996 — 30 yrs since
- Specialty taxonomy
- 225100000X — NUCC code
- State license (1)
- Arizona #3705
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1063444933. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
4,308
Distinct HCPCS
5
Medicare allowed
$111,244
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 2,809 | 161 | $22 | |
97530 |
Therapy procedure using functional activities | 630 | 80 | $34 | |
97140 |
Therapy procedure using manual technique, each 15 minutes | 523 | 67 | $20 | |
97112 |
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 232 | 42 | $25 | |
97162 |
Evaluation for physical therapy, typically 30 minutes | 114 | 106 | $98 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 861. This provider delivers 5.0× the peer median.Frequently asked questions
What is Dr. Russel Peterson's medical specialty?
Dr. Russel Peterson practices Physical Therapist in Snowflake, AZ.
Where does Dr. Russel Peterson practice?
Dr. Russel Peterson practices at 420 S Main St, Snowflake, AZ 859375246. Office phone: 9285362357.
What is Dr. Russel Peterson's NPI?
Dr. Russel Peterson's National Provider Identifier (NPI) is 1063444933, issued by NPPES.
Does Dr. Russel Peterson accept Medicare assignment?
Yes. Dr. Russel Peterson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Russel Peterson commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure using functional activities (HCPCS 97530); Therapy procedure using manual technique (HCPCS 97140). Source: CMS Medicare Physician & Other Practitioners file.