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

Cody Petersen, PTA

Individual provider Physical Therapy Assistant · NPI 1215457601

Cody Petersen, PTA is a Physical Therapy Assistant in Bellingham, Washington. Licensed in Washington. Registered with an NPI since 2017.

Licensed in
WA
In the registry since
2017
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

316 E McLeod Rd Ste 101
Bellingham, WA 98226-6491
Phone: (360) 734-5410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 60045899 (WA)

Record details

NPI number1215457601
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJune 26, 2017
Last updated in NPPESJune 26, 2017
Mailing address200 S 34th St, Bellingham, WA 98225-6057

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