PETERSON'S ORTHOTIC LAB
NPI 1568758282
Durable Medical Equipment & Medical Supplies - Customized Equipment in Bend, OR

Active since June 21, 2011
900 SE WILSON AVE, SUITE F, BEND, OR 97702(541) 647-1108(541) 647-2162 Get Directions Write a Review

NPPES record last updated: June 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peterson's Orthotic Lab NPPES

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

PETERSON'S ORTHOTIC LAB (NPI 1568758282) is a healthcare organization registered as a customized equipment in Bend, Oregon and active in the NPI registry since June 2011. The organization lists Scott William Peterson, President, as its authorized official.

NPPES Registry Identity

NPI1568758282
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NamePETERSON PERFORMANCE PRODUCTS INC
Location Address900 SE WILSON AVE, SUITE FBend, OR 97702-1416
Mailing Address900 Se Wilson Ave, Suite FBend, OR 97702-1416 · (541) 647-1108 · Fax (541) 647-2162
Fax(541) 647-2162
Organization SubpartNo
Authorized OfficialScott William PetersonPresident · (541) 647-1108
Enumeration DateJune 21, 2011
NPI 1568758282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code332BC3200X
License Licensed in OR · C15236
900 SE WILSON AVE, Bend, OR 97702

Other Names 1

Doing Business AsPeterson's Orthotic Lab

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 Peterson Performance Products Inc's NPI number?

The NPI number for Peterson Performance Products Inc is 1568758282. It was assigned to this organization in the NPPES registry on June 21, 2011. The provider is doing business as Peterson's Orthotic Lab.

Where is Peterson Performance Products Inc located?

Peterson Performance Products Inc is located at 900 SE Wilson Ave Suite F, Bend, OR 97702. The listed phone number is (541) 647-1108.

What is Peterson Performance Products Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for Peterson Performance Products Inc was last updated on June 21, 2011. 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.