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

Mr. Jeffrey Scott Petersen

Individual provider Rehabilitation Practitioner · NPI 1891977419

Mr. Jeffrey Scott Petersen is a Rehabilitation Practitioner in Grass Valley, California. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

500 Crown Point Cir
Grass Valley, CA 95945-9514
Phone: (530) 265-1437
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1891977419
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 5, 2007
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025
Mailing address500 Crown Point Cir, Ste 120, Grass Valley, CA 95945-9514

Other providers in Grass Valley