JORDAN PETERSON NPI 1124650171

NPI Information

  • NPI: 1124650171
  • Provider Name: JORDAN PETERSON
  • Classification: Physical Therapist - 2251P0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 9520 PADGETT ST
    SAN DIEGO, CA
    ZIP 92126
  • Phone: (858) 866-8133

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NPI Details

Jordan Peterson is a pediatrics physical therapist in San Diego, CA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. Jordan Peterson NPI is 1124650171. 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:

9520 PADGETT ST
SAN DIEGO, CA
ZIP 92126-445
Phone: (858) 866-8133

The enumeration date for this NPI number is 2/7/2020 and was last updated on 11/18/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12255A2300XSpecialist/TechnologistAthletic TrainerNo
22251P0200XPhysical TherapistPediatrics306141CALIFORNIAYes

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: 11/21/2025

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