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MARK ALAN PETERSON PT
NPI 1093775025
Physical Therapist - Orthopedic in Vista, CA

Active since March 24, 2006Accepts Medicare Assignment

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 20, 2024, Aug 23, 2016 (2 updates tracked since 2016).

About Mark Alan Peterson Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK ALAN PETERSON PT (NPI 1093775025) is an individual orthopedic provider in Vista, California, licensed in California (17962) and active in the NPI registry since March 2006. He is a graduate of Other (1991).

NPPES Registry Identity

NPI1093775025
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameMARK ALAN PETERSONCredential: PT
Location Address130 CEDAR RDVista, CA 92083-5102
Mailing Address10790 Rancho Bernardo Rd # 4s-305San Diego, CA 92127-5705 · (760) 901-5040
Phone(760) 901-5040
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateMarch 24, 2006
Last NPPES UpdateAugust 20, 20242 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1093775025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in CA · 17962
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
130 CEDAR RD, Vista, CA 92083
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark Alan Peterson Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234178377
PECOS Enrollment IDI20050428000509

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
813 services157 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
509 services123 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
151 services139 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABBIE EPLEY PA-C
Physician Assistant
130 CEDAR RD
VISTA, CA 92083
San Diego County (760) 806-5500
DR. DANAE NARVAZA PT, DPT
Physical Therapist
130 CEDAR RD
VISTA, CA 92083
San Diego County (760) 901-5040
ALEXANDER SHAFT
Family Medicine
130 CEDAR RD
VISTA, CA 92083
San Diego County (760) 806-5431
KERRI DUREN PHARMACIST
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
130 CEDAR RD
VISTA, CA 92083
San Diego County (760) 630-8806
LARRY BROCK BUTLER PA
Physician Assistant
130 CEDAR RD
VISTA, CA 92083
San Diego County (760) 806-5500
SOPHIA LE BRADLEY D.O.
Family Medicine
130 CEDAR RD
VISTA, CA 92083
San Diego County (760) 806-5500
DR. JENNIFER T LEE DO
Family Medicine
130 CEDAR RD
VISTA, CA 92083
San Diego County (760) 827-7210
DR. RICHARD HENRY LOVELL M.D.
Family Medicine
130 CEDAR RD
VISTA, CA 92083
San Diego County (760) 806-5600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Peterson's NPI number?

The NPI number for Mark Peterson is 1093775025. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Mark Peterson located?

Mark Peterson practices at 130 Cedar Rd, Vista, CA 92083. The listed phone number is (760) 901-5040.

What is Mark Peterson's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Mark Peterson enrolled in Medicare?

Yes. Mark Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mark Peterson was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.