Evan J Petersen, PT, OCS, ATC, CSCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

3803 Issued in SC

Practice address

3851 Roger Brooke Dr
BLDG 3600
Fort Sam Houston, TX 78234-4501

Phone

(210) 916-1920

Fax

(210) 916-4074

NPI assigned

Oct 31, 2005

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1609867548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 RED ROCK PASS",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541123",
            "telephone_number": "210-455-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 ROGER BROOKE DR",
            "address_2": "BLDG 3600",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344501",
            "telephone_number": "210-916-1920",
            "fax_number": "210-916-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "EVAN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PT, OCS, ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "SC",
            "license": "3803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Denise Perry, LCSW
• William L Perry, DPT
• Tamika Person Knisley, PSY.D.
• Cheryl Lee Perz, FNP
• Jessica Pesce, MSPT
• Thomas Petersen, DPT
• Jack Martin Peterson, MD
• Kelly Peterson, APRN
• Telyn J Peterson, DO
• Thomas Joseph Peterson, MD

• Orthopedic Physical Therapist in Fort Sam Houston, TX
• Providers in Fort Sam Houston, TX by specialty
• Orthopedic Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.