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

Justin Daniel Peterson, PT

Individual provider Physical Therapist · NPI 1003560384

Justin Daniel Peterson, PT is a Physical Therapist in Private Practice in Marysville, Washington. Qualified in 2021, 5 years ago. Practices with Nspt Inc, a 26-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
5
Licensed in
WA
In the registry since
2022
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

9516 State Ave Ste B
Marysville, WA 98270-2277
Phone: (360) 658-8857
Fax: (360) 659-8296
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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 PT61183342 (WA)

Record details

NPI number1003560384
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedFebruary 7, 2022
Last updated in NPPESMarch 21, 2023
Certification dateMarch 21, 2023
Mailing address111 Tumwater Blvd Se Ste 113, Tumwater, WA 98501-6422

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Nspt Inc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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