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

Jordan Peterson

Individual provider Athletic Trainer · NPI 1124650171

Jordan Peterson is an Athletic Trainer in San Diego, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

9520 Padgett St
San Diego, CA 92126-4445
Phone: (858) 866-8133
Show map & directions

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

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 306141 (CA)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1124650171
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 7, 2020
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024

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