Jordan Peterson

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

306141 Issued in CA

Practice address

9520 Padgett St
San Diego, CA 92126-4445

Phone

(858) 866-8133

NPI assigned

Feb 7, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• J & S Pediatric Therapy, P.C.

  • Speech-Language Pathologist
  • San Diego, CA
  • NPI 1023697877
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1124650171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3544 CAMINITO EL RINCON UNIT 51",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302549",
            "telephone_number": "715-410-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 PADGETT ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264445",
            "telephone_number": "858-866-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-07",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "306141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Peterson, CCC-SLP
• Jennifer Ann Peterson
• Jessica Peterson
• Jon E Peterson, DDS
• Jonathan Michael Peterson, MD
• Jovelyn Maria Peterson
• Joyce Darlene Peterson, NP
• Kala M Peterson, DC
• Karin S Peterson, MD, PHD
• Kelsey Peterson, MS, RD

• Pediatric Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.