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

Mr. Brek Lamont Peterson, PT

Individual provider Physical Therapist · NPI 1518006444

Mr. Brek Lamont Peterson, PT is a Physical Therapist in Private Practice in Prescott, Arizona. Qualified in 1999, 27 years ago. Practices with Peterson PT LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
27
Licensed in
AZ
In the registry since
2007
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

1320 W Iron Springs Rd
Prescott, AZ 86305-1414
Phone: (928) 771-2977
Fax: (928) 771-2987
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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 5079 (AZ)

Record details

NPI number1518006444
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 6, 2007
Last updated in NPPESJuly 9, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Peterson Pt Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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