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

Molly Jo Petersen, PTA

Individual provider Physical Therapy Assistant · NPI 1508002403

Molly Jo Petersen, PTA is a Physical Therapy Assistant in Coral Springs, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2008
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2420 NW 115th Ave
Coral Springs, FL 33065-3422
Phone: (954) 552-4351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA1659 (FL)

Record details

NPI number1508002403
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedDecember 23, 2008
Last updated in NPPESDecember 23, 2008

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