Individual provider · Type 1 NPI

Jesse Robert Peterson, DPT

Clinical Electrophysiology Physical Therapist · San Antonio, TX

NPI number 1104571256 Active

Practice location

3327 Research Plz Ste 215
San Antonio, TX 78235-5157

Mailing address

400 Concord Plaza Dr Ste 300
San Antonio, TX 78216-6991

Specialties and licenses

TaxonomyCodeLicense
Clinical Electrophysiology Physical Therapist Primary 2251E1300X1408526 (TX)

Clinical Electrophysiology Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Clinical Electrophysiologic Physical Therapy, who has demonstrated specialized knowledge and skill in electrophysiologic examinations and evaluations and encompasses both the professional and technical components of the observation, recording, analysis, and interpretation of bioelectric muscle and nerve p…

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About NPI 1104571256

Jesse Robert Peterson, DPT's National Provider Identifier is 1104571256, issued on Feb 17, 2022. The primary taxonomy on file is Clinical Electrophysiology Physical Therapist (2251E1300X), and the practice location is in San Antonio, TX. The record was last updated on Jul 27, 2026.