NATHAN REGINALD PETERSON DPT
NPI 1548790868
Physical Therapist - Pediatrics in Rockford, IL

Q: What is Nathan Peterson's NPI number?

The NPI number for Nathan Peterson is 1548790868. It was assigned to this individual provider in the NPPES registry on June 19, 2017.

Q: What is Nathan Peterson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nathan Peterson was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 19, 2017

1401 E STATE ST, ROCKFORD, IL 61104(815) 968-4400 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 17, 2025, Jun 5, 2023, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Nathan Reginald Peterson Dpt NPPES

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

NATHAN REGINALD PETERSON DPT (NPI 1548790868) is an individual pediatrics provider in Rockford, Illinois, licensed in Illinois (070.029268) and active in the NPI registry since June 2017. He maintains 4 additional practice locations.

NPPES Registry Identity

NPI1548790868

Entity TypeIndividualMale

Primary Taxonomy2251P0200X

Provider Legal NameNATHAN REGINALD PETERSONCredential: DPT

Location Address1401 E STATE STRockford, IL 61104-2315

Mailing Address1401 E State StRockford, IL 61104-2315 · (815) 968-4400

Phone(815) 968-4400

Sole ProprietorNo

Enumeration DateJune 19, 2017

Last NPPES UpdateSeptember 17, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2025

✔ NPI 1548790868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code2251P0200X

Licenses✔ Licensed in IL · 070.029268✔ Licensed in NV · 3572✔ Licensed in CO · PTL-0014913

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.

1401 E STATE ST, Rockford, IL 61104

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Secondary Practice Locations 4

Location 17501 W Lake Mead Blvd Ste 115Las Vegas, NV 89128-1008 · Phone (702) 360-1137

Location 2171 N Gibson Rd Ste 140Henderson, NV 89014-6787 · Phone (702) 360-1137

Location 32012 S Jones BlvdLas Vegas, NV 89146-3151 · Phone (702) 360-1137

Location 4Hospital Americano, Base Naval de Rota, Apartado de Correos 33Rota, Cadiz 11530 · Phone (314) 727-4029

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.

MRS. MANISHA AJIT PATEL DPT

Physical Therapist