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MISS JACKALYN NICOLE PETERSON DPT NPI 1013241769


NPI Information

NPI: 1013241769
Provider Name: MISS JACKALYN NICOLE PETERSON, DPT
Classification: Specialist - 174400000X
Entity Type: Individual
Organization: EXCEL REHABILITATION PLLC Address:
9860 FAIRFAX BLVD
SUITE 1
FAIRFAX, VA
ZIP 22030
Phone: (703) 383-1616
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MISS Jackalyn Nicole Peterson, DPT is a specialist in Fairfax, VA with 15 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MISS Jackalyn Nicole Peterson, DPT NPI is 1013241769. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9860 FAIRFAX BLVD
SUITE 1
FAIRFAX, VA
ZIP 22030-737
Phone: (703) 383-1616
Fax: (703) 383-1166

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Manual (physical) therapy techniques to 1 or more regions, each 15 minutes (HCPCS:97140)
  • Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care (HCPCS:G0283)
  • Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
  • Application of ultrasound to 1 or more areas, each 15 minutes (HCPCS:97035)
  • Physical therapy evaluation (HCPCS:97001)

The enumeration date for this NPI number is 9/29/2009 and was last updated on 11/14/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist2305206191VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.