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

Jerick Richard Peterson, PTA

Individual provider Physical Therapy Assistant · NPI 1033756614

Jerick Richard Peterson, PTA is a Physical Therapy Assistant in Duarte, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1220 Huntington Dr
Duarte, CA 91010-2477
Phone: (626) 359-6618
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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 PTA48839 (CA)

Record details

NPI number1033756614
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedDecember 3, 2019
Last updated in NPPESDecember 3, 2019

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