JEFFREY PETERSEN PT
NPI 1912367251
Physical Therapist in Bonners Ferry, ID

Active since February 29, 2016
6640 KANIKSU ST, BONNERS FERRY, ID 83805(208) 267-3141(208) 267-1747 Get Directions Write a Review

NPPES record last updated: February 29, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey Petersen Pt NPPES

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

JEFFREY PETERSEN PT (NPI 1912367251) is an individual physical therapist in Bonners Ferry, Idaho, licensed in Idaho (PT-2720) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1912367251
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJEFFREY PETERSENCredential: PT
Location Address6640 KANIKSU STBonners Ferry, ID 83805-7532
Mailing Address6640 Kaniksu StBonners Ferry, ID 83805-7532 · (208) 267-3141 · Fax (208) 267-1747
Fax(208) 267-1747
Sole ProprietorYes
Enumeration DateFebruary 29, 2016
NPI 1912367251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in ID · PT-2720
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
6640 KANIKSU ST, Bonners Ferry, ID 83805

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.

Internal Medicine
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Emergency Medicine
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Pharmacy (Long Term Care Pharmacy)
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Skilled Nursing Facility
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Emergency Medicine
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Emergency Medicine
6640 KANIKSU ST, BOUNDAR COMMUNITY HOSPITAL
BONNERS FERRY, ID 83805
Internal Medicine
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Registered Nurse (Medical-Surgical)
6640 KANIKSU ST
BONNERS FERRY, ID 83805

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 Jeffrey Petersen's NPI number?

The NPI number for Jeffrey Petersen is 1912367251. It was assigned to this individual provider in the NPPES registry on February 29, 2016.

Where is Jeffrey Petersen located?

Jeffrey Petersen practices at 6640 Kaniksu St, Bonners Ferry, ID 83805. The listed phone number is (208) 267-3141.

What is Jeffrey Petersen's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Jeffrey Petersen was last updated on February 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.