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

George Justin Petersen, DPT

Individual provider Geriatric Physical Therapist · NPI 1144767468

George Justin Petersen, DPT is a Geriatric Physical Therapist in San Diego, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3064 Fried Ave
San Diego, CA 92122-2235
Phone: (858) 405-2855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Physical Therapist (primary) Taxonomy 2251G0304X · Licence 36323 (CA)

Record details

NPI number1144767468
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJanuary 24, 2017
Last updated in NPPESJanuary 24, 2017

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