Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Peterson PT LLC

Organization Pediatric Sports Medicine Physician · NPI 1669480968

Peterson PT LLC provides Pediatric Sports Medicine Physician services in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1320 W Iron Springs Rd
Prescott, AZ 86305-1414
Phone: (928) 771-2977
Fax: (928) 771-2987
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Sports Medicine Physician (primary) Taxonomy 2080S0010X · Licence 5079 (AZ)
Pediatric Sports Medicine Physician Taxonomy 2080S0010X · Licence 5810 (AZ)
Pediatric Sports Medicine Physician Taxonomy 2080S0010X · Licence 6499 (AZ)

Record details

NPI number1669480968
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brek Peterson — Owner/Physical Therapist · (928) 771-2977
Other names Peterson Physical Therapy
NPI enumeratedAugust 3, 2006
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024
Mailing address1320 W Iron Springs Rd, Prescott, AZ 86305-1414