Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Peterson PT LLC

Organization Pediatric Sports Medicine Physician · NPI 1669480968

Peterson PT LLC is a Pediatric Sports Medicine Physician 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