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

Mr. Jesse Peterson, PHYSICALTHERAPIST

Individual provider Physical Therapy Assistant · NPI 1174642136

Mr. Jesse Peterson, PHYSICALTHERAPIST is a Physical Therapy Assistant in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

222 S Riverside Plz Ste 830
Chicago, IL 60606-5900
Phone: (866) 386-0773
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X (IL)

Record details

NPI number1174642136
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPIST
Sole proprietorNo
NPI enumeratedMarch 28, 2007
Last updated in NPPESJuly 8, 2007

Other providers in Chicago