John Peterson

Physical Therapy Assistant · Medford, OR

Individual Active NPI

NPI number 1043630205

Practice location

625 Stevens St
Medford, OR 97504-6719
Phone
(541) 779-3551

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NPI record

NPI
1043630205
Entity type
Individual (Type 1)
Enumeration date
April 25, 2014
Last updated
April 25, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X PTA24092 FL
Physical Therapy Assistant 225200000X 09025 OR

Mailing address

25117 SW Parkway Ave Ste D
Wilsonville, OR 97070-9697

About John Peterson

John Peterson is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 625 Stevens St, Medford, OR 97504-6719. The NPI number 1043630205 was assigned on April 25, 2014 and the record was last updated on April 25, 2014.

John Peterson lists 2 licenses in the registry: #PTA24092 (FL) for Physical Therapy Assistant; #09025 (OR) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Peterson?

The NPI number is 1043630205.

What is the phone number of John Peterson?

The phone number listed for the practice location is (541) 779-3551.

Where is John Peterson located?

625 Stevens St, Medford, OR 97504-6719.

What is the taxonomy code for John Peterson?

The primary taxonomy code is 225200000X – Physical Therapy Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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