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

Nathan Reginald Peterson, DPT

Individual provider Pediatric Physical Therapist · NPI 1548790868

Nathan Reginald Peterson, DPT is a Pediatric Physical Therapist in Rockford, Illinois. Works from 5 locations. Licensed in Colorado, Illinois and Nevada.

Licensed in
CO, IL, NV
In the registry since
2017
Specialties on file
3
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1401 E State St
Rockford, IL 61104-2315
Phone: (815) 968-4400
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (4)

  • 171 N Gibson Rd Ste 140, Henderson, NV 89014-6787 — (702) 360-1137
  • 7501 W Lake Mead Blvd Ste 115, Las Vegas, NV 89128-1008 — (702) 360-1137
  • 2012 S Jones Blvd, Las Vegas, NV 89146-3151 — (702) 360-1137
  • Hospital Americano, Base Naval De Rota, Rota, 11530 — (314) 727-4029

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 070.029268 (IL)
Pediatric Physical Therapist Taxonomy 2251P0200X · Licence 3572 (NV)
Pediatric Physical Therapist Taxonomy 2251P0200X · Licence PTL-0014913 (CO)

Record details

NPI number1548790868
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 19, 2017
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025
Mailing address1401 E State St, Rockford, IL 61104-2315

Other providers in Rockford