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JEREMY PETERS
NPI 1194028613
Physical Therapist - Sports in Rochester, NY

Active since December 06, 2010
4901 LAC DE VILLE BLVD # D-110, ROCHESTER, NY 14618(585) 341-9150 Get Directions Write a Review

NPPES record last updated: December 6, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeremy Peters NPPES

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

JEREMY PETERS (NPI 1194028613) is an individual sports provider in Rochester, New York, licensed in New York (032669) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1194028613
Entity TypeIndividualMale
Primary Taxonomy2251S0007X
Provider Legal NameJEREMY PETERS
Location Address4901 LAC DE VILLE BLVD # D-110Rochester, NY 14618-5647
Mailing Address4901 Lac De Ville Blvd # D-110Rochester, NY 14618-5647
Phone(585) 341-9150
Sole ProprietorNo
Enumeration DateDecember 6, 2010
✔ NPI 1194028613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
License✔ Licensed in NY · 032669
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
4901 LAC DE VILLE BLVD # D-110, Rochester, NY 14618
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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 Jeremy Peters's NPI number?

The NPI number for Jeremy Peters is 1194028613. It was assigned to this individual provider in the NPPES registry on December 6, 2010.

Where is Jeremy Peters located?

Jeremy Peters practices at 4901 Lac De Ville Blvd # D-110, Rochester, NY 14618. The listed phone number is (585) 341-9150.

What is Jeremy Peters's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

When was this NPI record last updated?

The NPPES record for Jeremy Peters was last updated on December 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.