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

Greg Edward Petersen, PT

Individual provider Physical Therapist · NPI 1013013176

Greg Edward Petersen, PT is a Physical Therapist in Private Practice in Torrance, California. Qualified in 1994, 32 years ago. Practices with South Bay Sports Medicine Physical Therapy Inc, a 6-clinician group. Licensed in California.

Years since qualifying
32
Licensed in
CA
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3878 W Carson St Ste 100
Torrance, CA 90503-6707
Phone: (310) 543-4655
Fax: (310) 543-1743
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT 20757 (CA)

Record details

NPI number1013013176
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 16, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice South Bay Sports Medicine Physical Therapy Inc — 6 clinicians
Accepts Medicare assignment Not indicated

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