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

Jennifer Lynne Peterson, PT, DPT, ATC

Individual provider Physical Therapist · NPI 1164621595

Jennifer Lynne Peterson, PT, DPT, ATC is a Physical Therapist in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

4646 E Greenway Rd Ste 110
Phoenix, AZ 85032
Phone: (602) 923-6750
Fax: (602) 923-6804
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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 7752 (AZ)
Physical Therapist Taxonomy 225100000X (AZ)

Record details

NPI number1164621595
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT , ATC
Sole proprietorNo
NPI enumeratedJuly 16, 2007
Last updated in NPPESAugust 18, 2009

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