Peterson PT LLC

Organization Active
NPI 1669480968
Pediatric Sports Medicine Physician Prescott, AZ

Peterson PT LLC is a pediatric sports medicine physician located in Prescott, AZ. The NPI was issued on August 3, 2006, and the record was last updated in NPPES on May 20, 2024. The record lists 3 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Sports Medicine Physician Primary 2080S0010X 5079 (AZ)
Pediatric Sports Medicine Physician 2080S0010X 5810 (AZ)
Pediatric Sports Medicine Physician 2080S0010X 6499 (AZ)

Practice location

1320 W Iron Springs Rd
Prescott, AZ 86305-1414
Phone: (928) 771-2977

Local context

Active NPPES records list 1 provider with pediatric sports medicine physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 10 in Arizona and 283 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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