Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Evan J Petersen, PT, OCS, ATC, CSCS

Individual provider Orthopedic Physical Therapist · NPI 1609867548

Mr. Evan J Petersen, PT, OCS, ATC, CSCS is an Orthopedic Physical Therapist in Fort Sam Houston, Texas. Licensed in South Carolina. Registered with an NPI since 2005.

Licensed in
SC
In the registry since
2005
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

3851 Roger Brooke Dr Bldg 3600
Fort Sam Houston, TX 78234-4501
Phone: (210) 916-1920
Fax: (210) 916-4074
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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 3803 (SC)

Record details

NPI number1609867548
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , OCS , ATC , CSCS
Sole proprietorNo
NPI enumeratedOctober 31, 2005
Last updated in NPPESJuly 13, 2026

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