JEREMY PETERS NPI 1194028613

NPI Information

  • NPI: 1194028613
  • Provider Name: JEREMY PETERS
  • Classification: Physical Therapist - 2251S0007X
  • Specialization: Sports
  • Entity Type: Individual
  • Address: 4901 LAC DE VILLE BLVD # D-110
    ROCHESTER, NY
    ZIP 14618
  • Phone: (585) 341-9150

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NPI Details

Jeremy Peters is a sports physical therapist in Rochester, NY. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement. Jeremy Peters NPI is 1194028613. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4901 LAC DE VILLE BLVD # D-110
ROCHESTER, NY
ZIP 14618-647
Phone: (585) 341-9150

The enumeration date for this NPI number is 12/6/2010 and was last updated on 12/6/2010.

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
12251S0007XPhysical TherapistSports032669NEW YORKYes

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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