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

Kevin Nicholas Peterson, PT, DPT

Individual provider Pediatric Physical Therapist · NPI 1811543895

Kevin Nicholas Peterson, PT, DPT is a Pediatric Physical Therapist in Irvine, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
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.

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Practice location Address checks out

980 Roosevelt Ste 100
Irvine, CA 92620-3670
Phone: (949) 333-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 297167 (CA)

Record details

NPI number1811543895
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedAugust 14, 2019
Last updated in NPPESNovember 27, 2023

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