Individual provider · Type 1 NPI

John Peterson

Physical Therapy Assistant · Medford, OR

NPI number 1043630205 Active

Practice location

625 Stevens St
Medford, OR 97504-6719

Call (541) 779-3551 Map

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000X09025 (OR)
Physical Therapy Assistant Primary 225200000XPTA24092 (FL)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1043630205

John Peterson's National Provider Identifier is 1043630205, issued on Apr 25, 2014. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Medford, OR. The record was last updated on Apr 25, 2014.