Active NPI
Heather Peterson, DPT
- Physical Therapist
- Seattle, WA
National Provider Identifier
1174998090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60620607
- Practice address
- 908 Jefferson St
Seattle, WA 98104-2433 - Phone
- (504) 352-3719
- NPI assigned
- Dec 3, 2015
- Last updated
- Dec 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60620607 | WA | Primary |
Addresses
Primary practice location
908 Jefferson St
Seattle, WA 98104-2433
Mailing address
2630 E 17TH St
Bremerton, WA 98310-5058
Phone (504) 352-3719
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60620607 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1174998090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2630 E 17TH ST",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983105058",
"telephone_number": "504-352-3719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 JEFFERSON ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042433",
"telephone_number": "504-352-3719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "HEATHER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-03",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60620607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.