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

Jessie L Peterson, PT, DPT, LAT, ATC

Individual provider Athletic Trainer · NPI 1194462481

Jessie L Peterson, PT, DPT, LAT, ATC is a Physical Therapist in Private Practice in Las Vegas, Nevada. Qualified in 2022, 4 years ago. Practices with Family and Sports Physical Therapy, a 3-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
4
Licensed in
NV
In the registry since
2022
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.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

7351 Prairie Falcon Rd Ste 100
Las Vegas, NV 89128-0820
Phone: (702) 968-0520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (NV)
Athletic Trainer Taxonomy 2255A2300X (NV)

Record details

NPI number1194462481
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT , LAT , ATC
Sole proprietorNo
NPI enumeratedMay 18, 2022
Last updated in NPPESJune 7, 2022
Certification dateJune 7, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Family And Sports Physical Therapy — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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