Peterson Pt Llc, NPI 1669480968
Pediatric Sports Medicine Physician in Prescott, AZ, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1669480968
NPI Entity Type Organization
Provider Name Peterson Pt Llc
Former Legal Business Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1320 W Iron Springs Rd, Prescott, AZ, US
Provider Mailing Address 1320 W Iron Springs Rd, Prescott, AZ, US, 863051414
Is Sole Proprietor? No
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Organization Official

Official Name MR. PT Brek Lamont Peterson
Official Position OWNER
Phone 928-771-2977

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

2080S0010X

Taxonomy Name Pediatric Sports Medicine Physician
Classification

Pediatrics

Group

Allopathic & Osteopathic Physicians

License No. 5079
License State AZ
Description A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Other Organization Name

Peterson Physical Therapy
Former Legal Business Name

Business Address

Peterson Pt Llc
1320 W Iron Springs Rd

Prescott, AZ, US

Phone: 928-771-2977
Fax: 928-771-2987

Mailing Address

Peterson Pt Llc
1320 W Iron Springs Rd
Prescott, AZ, US
ZIP 863051414
Phone: 928-771-2977
Fax: 928-771-2987

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

2080S0010X

Allopathic & Osteopathic Physicians

Pediatrics

5810 AZ No

2080S0010X

Allopathic & Osteopathic Physicians

Pediatrics

6499 AZ No

Other Providers in AZ, US

NPI Name Taxonomy Address

1659836476

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Organization

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1376270470

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1861960486

Christina Fitzpatrick

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PA-C Abigail Jane Higgins

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1154088532

RN Abbigael Naomi Simpson

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1707 W Saint Marys Rd

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1508581976

Rehema Outpatient Treatment Center Llc

Organization

Mental Health Clinic/Center (Including Community Mental Health Center)

1968a N Peart Rd Ste 3

Casa Grande, AZ

1083339451

MRS. LCSW Colette Reon Hardesty-tesar X

Individual

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3565 E Marshall Gulch Pl

Tucson, AZ

1821594557

MD Xiao Kristin Liang

Individual

Family Medicine Physician

7301 E 2nd St Ste 210

Scottsdale, AZ

1194440560

RD Haley Dawn Smith

Individual

Registered Dietitian

1200 N Beaver St

Flagstaff, AZ

1851852834

MD Nicole Marie Casey

Individual

Family Medicine Physician

3003 N 3rd St

Phoenix, AZ

1669120499

Julie Ann Roberts

Individual

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335 N Alma School Rd

Chandler, AZ

1316335383

MOT OTR/L, BCP, CIMI Victoria Wicus

Individual

Occupational Therapist

4525 E Le Marche Ave

Phoenix, AZ

1134849490

LCSW Taylor Redding

Individual

Clinical Social Worker

3656 W Scavenger Dr

Marana, AZ

1043575483

Sierra Vista Regional Health Center Medical Group Llc

Organization

Family Medicine Physician

5750 E Highway 90

Suite 200

Sierra Vista, AZ

1447975800

PT Catherine Broadbent

Individual

Physical Therapist

23374 W Yuma Rd Ste 104

Buckeye, AZ

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