Lance R Peterson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT004652 Issued in OH

Practice address

923 State Route 46
Columbiana, OH 44408

Phone

(330) 482-6114

Fax

(330) 482-6115

NPI assigned

Aug 1, 2006

Last updated

Jan 21, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Novacare Rehabilitation of Ohio, Inc.

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Youngstown, OH
  • NPI 1033597471
  NPD (past)
• Novacare Rehabilitation of Ohio, Inc.

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Alliance, OH
  • NPI 1952970824

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1447267984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROYAL BIRKDALE DR",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "444088476",
            "telephone_number": "330-482-3726",
            "fax_number": "330-482-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 STATE ROUTE 46",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "44408",
            "telephone_number": "330-482-6114",
            "fax_number": "330-482-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "LANCE",
        "middle_name": "R",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT004652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omni Manor, Inc. (Parkside Health Care Center)
• Derek Allen Ornelas, M.D.
• Andrew Padach
• Jeffrey Michael Palusak, D.D.S.
• Mark Andrew Peckman, DO
• PM&R North, Inc. (All points Physical)
• Stephen Raymond Predebon, MD
• Preferred Care Partners LLC (Leading Lantern Counseling and Consulting)
• Randall M Maceyko, OD (Eye Catchers Optical)
• Kimberly Kay Rankin, RN

• Physical Therapist in Columbiana, OH
• Providers in Columbiana, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.