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Peterson Pt LLC

Pediatric Sports Medicine Physician in Prescott, AZ · enumerated 2006 · authorized official Brek Peterson, Owner/Physical Therapist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1669480968

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Registry record

Entity type Organization (Type 2)
Legal business name Peterson Pt LLC
Other name <Unavail>
Practice address 1320 W Iron Springs Rd, Prescott, AZ, 86305
Phone (928) 771-2977
Fax (928) 771-2987
Enumeration date Aug 3, 2006
Last updated in NPPES May 20, 2024

Taxonomy & classification

2080S0010X Pediatric Sports Medicine Physician Allopathic & Osteopathic Physicians · License 5079 (AZ) Primary
2080S0010X Pediatric Sports Medicine Physician Allopathic & Osteopathic Physicians · License 5810 (AZ) Secondary
2080S0010X Pediatric Sports Medicine Physician Allopathic & Osteopathic Physicians · License 6499 (AZ) Secondary

Authorized official

Name Brek Peterson
Title Owner/Physical Therapist
Phone (928) 771-2977

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Peterson Pt LLC located?
The practice location on file with NPPES is in Prescott, AZ.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-05-20. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-05-20.