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

John Peterson

Individual provider Physical Therapy Assistant · NPI 1043630205

John Peterson is a Physical Therapy Assistant in Medford, Oregon. Practices as a sole proprietor. Licensed in Florida and Oregon.

Licensed in
FL, OR
In the registry since
2014
Specialties on file
2

Practice location Address checks out

625 Stevens St
Medford, OR 97504-6719
Phone: (541) 779-3551
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA24092 (FL)
Physical Therapy Assistant Taxonomy 225200000X · Licence 09025 (OR)

Record details

NPI number1043630205
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 25, 2014
Last updated in NPPESApril 25, 2014
Mailing address25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070-9697

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