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

Mr. Jeffrey Petersen, PTMOMT

Individual provider Physical Therapist · NPI 1841389699

Mr. Jeffrey Petersen, PTMOMT is a Physical Therapist in Private Practice in Tempe, Arizona. Graduated from University of New England, College of Osteo Medicine in 1985, 41 years ago. Practices with Petersen Physical Therapy PC, a 14-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
41
Trained at
University of New England, College of Osteo Medicine
Licensed in
AZ
In the registry since
2006
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Practice location Address checks out

1844 E Baseline Rd Ste C5
Tempe, AZ 85283-1506
Phone: (480) 833-1005
Fax: (480) 833-1312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 21300 N John Wayne Pkwy Ste 125, Maricopa, AZ 85139-8978 — (520) 568-2723

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1295 (AZ)

Record details

NPI number1841389699
Entity typeIndividual (Type 1)
GenderMale
Credentials PTMOMT
Sole proprietorYes
NPI enumeratedOctober 12, 2006
Last updated in NPPESMay 7, 2020
Certification dateMay 7, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduated 1985 (41 years in practice)
Group practice Petersen Physical Therapy Pc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tempe