Peterson Pt LLC

Peterson Pt LLC is a healthcare organization registered as Pediatric Sports Medicine Physician in Prescott, AZ, holding Type 2 (organization) NPI 1669480968 since 2006. The authorized official on file is Brek Peterson, Owner/Physical Therapist.

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NPI	1669480968
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	9287712977
Fax	9287712987
Enumeration date	2006-08-03
Last updated in NPPES	2024-05-20

Authorized official

Name	Brek Peterson
Title	Owner/Physical Therapist
Phone	9287712977

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
2080S0010X	Pediatric Sports Medicine Physician	Secondary	5810	AZ
2080S0010X	Pediatric Sports Medicine Physician	Secondary	6499	AZ
2080S0010X	Pediatric Sports Medicine Physician	Primary	5079	AZ

Copy-ready billing details

Provider: Peterson Pt LLC
NPI: 1669480968
Taxonomy: 2080S0010X (Pediatric Sports Medicine Physician)
Address: 1320 W IRON SPRINGS RD, Prescott, AZ, 86305

Providers at this address

NPI	Name	Type	Specialty	Location
1518006444	Brek Peterson	Individual	Physical Therapist	Prescott, AZ
1083842447	Christopher Legler	Individual	Physical Therapist	Prescott, AZ
1457671802	Arches Ppt, LLC	Organization	Physical Therapy Clinic/Center	Prescott, AZ
1922930296	Jessica Dickinson	Individual	Family Medicine Physician	Prescott, AZ

Verify this record

Cross-check NPI 1669480968 against the authoritative CMS record: view Peterson Pt LLC on the official NPPES registry .

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. Read the full guide or validate an NPI number.

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.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-05-20.