GEORGE JUSTIN PETERSEN DPT
NPI 1144767468
Physical Therapist - Geriatrics in San Diego, CA

Q: What is George Petersen's NPI number?

The NPI number for George Petersen is 1144767468. It was assigned to this individual provider in the NPPES registry on January 24, 2017.

Q: What is George Petersen's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Q: When was this NPI record last updated?

The NPPES record for George Petersen was last updated on January 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.

Active since January 24, 2017

3064 FRIED AVE, SAN DIEGO, CA 92122(858) 405-2855 Get Directions Write a Review

NPPES record last updated: January 24, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About George Justin Petersen Dpt NPPES

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

GEORGE JUSTIN PETERSEN DPT (NPI 1144767468) is an individual geriatrics provider in San Diego, California, licensed in California (36323) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1144767468

Entity TypeIndividualMale

Primary Taxonomy2251G0304X

Provider Legal NameGEORGE JUSTIN PETERSENCredential: DPT

Location Address3064 FRIED AVESan Diego, CA 92122-2235

Mailing Address3064 Fried AveSan Diego, CA 92122-2235 · (858) 405-2855

Phone(858) 405-2855

Sole ProprietorNo

Enumeration DateJanuary 24, 2017

✔ NPI 1144767468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251G0304X

License✔ Licensed in CA · 36323

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.

3064 FRIED AVE, San Diego, CA 92122

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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 George Petersen's NPI number?

The NPI number for George Petersen is 1144767468. It was assigned to this individual provider in the NPPES registry on January 24, 2017.

Where is George Petersen located?

George Petersen practices at 3064 Fried Ave, San Diego, CA 92122. The listed phone number is (858) 405-2855.

What is George Petersen's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

When was this NPI record last updated?

The NPPES record for George Petersen was last updated on January 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.