Doctor profile · Federal record
Dr. Lars Petersen, PT, DPT
Physical Therapist (CMS: Physical Therapist in Private Practice) · Physical Therapist · Woodbury, MN
- NPI 1558779777
- Accepts Medicare
- MIPS 83.0 / 100 · 2023
- 12 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
257 Rivertown Dr
Woodbury, MN 551257726
(651) 528-6461
fax (651) 528-6349 - Mailing address
-
7581 9Th St N Ste 100
Oakdale, MN 551286635
Credentials & registration
- NPI registered
- July 2014 — 12 yrs on file
- Profile last updated
- July 20, 2021
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 225100000X — NUCC code
- State license (1)
- Minnesota #9742
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1558779777. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
229
Distinct HCPCS
2
Medicare allowed
$7,387
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97530 |
Therapy procedure using functional activities | 165 | 11 | $35 | |
97112 |
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 64 | 11 | $26 |
In context: peer comparison
Among 27 peers in this city , average services per provider: 147. This provider delivers 1.6× the peer median.Frequently asked questions
What is Dr. Lars Petersen's medical specialty?
Dr. Lars Petersen practices Physical Therapist in Woodbury, MN.
Where does Dr. Lars Petersen practice?
Dr. Lars Petersen practices at 257 Rivertown Dr, Woodbury, MN 551257726. Office phone: 6515286461.
What is Dr. Lars Petersen's NPI?
Dr. Lars Petersen's National Provider Identifier (NPI) is 1558779777, issued by NPPES.
Does Dr. Lars Petersen accept Medicare assignment?
Yes. Dr. Lars Petersen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Lars Petersen commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using functional activities (HCPCS 97530); Therapy procedure to re-educate brain-to-nerve-to-muscle function (HCPCS 97112). Source: CMS Medicare Physician & Other Practitioners file.