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

Mark Alan Peterson, PT

Individual provider Orthopedic Physical Therapist · NPI 1093775025

Mark Alan Peterson, PT is a Physical Therapist in Private Practice in Vista, California. Qualified in 1991, 35 years ago. Practices with Scripps Health, a 1,446-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
35
Licensed in
CA
In the registry since
2006
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

130 Cedar Rd
Vista, CA 92083-5102
Phone: (760) 901-5040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 17962 (CA)

Record details

NPI number1093775025
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 24, 2006
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024
Mailing address10790 Rancho Bernardo Rd # 4s-305, San Diego, CA 92127-5705

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Scripps Health — 1446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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