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JORDAN PETERSON
NPI 1124650171
Physical Therapist - Pediatrics in San Diego, CA

Active since February 07, 2020
9520 PADGETT ST, SAN DIEGO, CA 92126(858) 866-8133 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2024, Feb 7, 2020 (2 updates tracked since 2020).

About Jordan Peterson NPPES

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

JORDAN PETERSON (NPI 1124650171) is an individual pediatrics provider in San Diego, California, licensed in California (306141) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1124650171
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameJORDAN PETERSON
Location Address9520 PADGETT STSan Diego, CA 92126-4445
Mailing Address3544 Caminito El Rincon Unit 51San Diego, CA 92130-2549 · (715) 410-4077
Phone(858) 866-8133
Sole ProprietorNo
Enumeration DateFebruary 7, 2020
Last NPPES UpdateNovember 18, 20242 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
✔ NPI 1124650171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in CA · 306141
Definition
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.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
9520 PADGETT ST, San Diego, CA 92126
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Other Providers at the Same Location NPPES 2

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

BLAST OFF CHILDREN'S THERAPY SERVICES, INC.
Clinic/Center
9520 PADGETT ST, SUITE 104
SAN DIEGO, CA 92126
San Diego County (858) 866-8133
CHRISTINE CHMIELAK OTR/L
Occupational Therapist
9520 PADGETT ST, SUITE 104
SAN DIEGO, CA 92126
San Diego County (858) 866-8133

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 Jordan Peterson's NPI number?

The NPI number for Jordan Peterson is 1124650171. It was assigned to this individual provider in the NPPES registry on February 7, 2020.

Where is Jordan Peterson located?

Jordan Peterson practices at 9520 Padgett St, San Diego, CA 92126. The listed phone number is (858) 866-8133.

What is Jordan Peterson's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Jordan Peterson was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.