Individual provider · Type 1 NPI

Evan J. Petersen, PT, OCS, ATC, CSCS

Orthopedic Physical Therapist · Fort Sam Houston, TX

NPI number 1609867548 Active

Practice location

3851 Roger Brooke Dr, Bldg 3600
Fort Sam Houston, TX 78234-4501

Fax (210) 916-4074

Mailing address

4601 Red Rock Pass
Schertz, TX 78154-1123

Specialties and licenses

TaxonomyCodeLicense
Orthopedic Physical Therapist Primary 2251X0800X3803 (SC)

Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…

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About NPI 1609867548

Evan J. Petersen, PT, OCS, ATC, CSCS's National Provider Identifier is 1609867548, issued on Oct 31, 2005. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Jul 13, 2026.