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

Timothy Ryan Peterson

Individual provider Rehabilitation Practitioner · NPI 1740101641

Timothy Ryan Peterson is a Rehabilitation Practitioner in Sacramento, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

3947 Lennane Dr Ste 200
Sacramento, CA 95834-1973
Phone: (916) 840-1200
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X (CA)

Record details

NPI number1740101641
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 24, 2026
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026

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