Jaclynn Rose Peters, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

41755 Issued in CA

Practice address

222 Center St
Healdsburg, CA 95448-4402

Phone

(707) 706-0853

NPI assigned

Oct 3, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Soco Physical Therapy & Performance, P.C.

  • Physical Therapist
  • Healdsburg, CA
  • NPI 1821853607
  NPD Authorized official

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699142400000",
    "number": "1407259484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 CENTER ST",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954484402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 CENTER ST",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954484402",
            "telephone_number": "707-706-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "JACLYNN",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-03",
        "last_updated": "2023-11-05",
        "certification_date": "2023-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "41755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Pace, MD
• Pacifica SL Grove Street LP
• Marc D. Paris, M.D.
• Anjali Patel, OD
• Lisa Paull
• Dana Peugh Guidi, RDH
• Long Phan, PHARM D
• Patricia Ellen Piersol, CNM
• Douglas D Pile, MD
• Vanessa Pinto, DO, MS

• Orthopedic Physical Therapist in Healdsburg, CA
• Providers in Healdsburg, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2023; 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.