Individual provider Active NPI

Drew Petersen, DPT

  • Physical Therapist
  • Centre Hall, PA
National Provider Identifier
1144955592
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT030483 Issued in PA
Practice address
2836 Earlystown Rd Ste 100
Centre Hall, PA 16828-9162
Phone
(814) 974-2934
Fax
(814) 414-4056
NPI assigned
Jul 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT030483 PA Primary

Addresses

Primary practice location

2836 Earlystown Rd Ste 100
Centre Hall, PA 16828-9162

Mailing address

4750 Lindle Rd Ste 100
Harrisburg, PA 17111-2428
Phone (814) 974-2934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251006001368 PA Practitioner - Physical Therapist in Private Practice 2163928383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Drexel University College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LHM Physical Therapy Institute LLCGroup PAC ID 2062873151, 76 clinicians

Practice addresses (Care Compare)

4337 Union Deposit Rd
Harrisburg, PA 17111-2923
Phone (717) 971-5940

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT030483PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
LHM Physical Therapy Institute LLC Physical Therapist CurrentSince Aug 25, 2025 Accepting new patients
LHM Physical Therapy Institute LLC Physical Therapist CurrentSince Aug 25, 2025 Accepting new patients
LHM Physical Therapy Institute LLC Physical Therapist Current Accepting new patients

Locations

2836 Earlystown Rd
Ste 100
Centre Hall, PA 16828
Phone (814) 974-2934

4750 Lindle Rd
Ste 100
Harrisburg, PA 17111
Phone (717) 803-3342

4337 Union Deposit Rd
Harrisburg, PA 17111
Phone (717) 803-3344

558 Shrewsbury Commons Ave
Shrewsbury, PA 17361
Phone (717) 803-3344

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1144955592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 LINDLE RD STE 100",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112428",
            "telephone_number": "814-974-2934",
            "fax_number": "814-414-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2836 EARLYSTOWN RD STE 100",
            "city": "CENTRE HALL",
            "state": "PA",
            "postal_code": "168289162",
            "telephone_number": "814-974-2934",
            "fax_number": "814-414-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "DREW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-20",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT030483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centre Hall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.