David Matthew Peterson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1407189 Issued in TX

Practice address

1825 Fortview Rd Ste 109
Austin, TX 78704-7655

Phone

(512) 892-5250

NPI assigned

Aug 25, 2025

Sex

Male

Sole proprietor

Yes

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

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.

• South Austin Therapy Group, Inc

  • Physical Therapy Clinic/Center
  • Austin, TX
  • NPI 1417041518
  NPD

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1780562132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 ASTOR PL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787211305",
            "telephone_number": "512-710-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 FORTVIEW RD STE 109",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047655",
            "telephone_number": "512-892-5250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1612 Astor Pl",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787211305",
            "country_code": "US",
            "telephone_number": "512-710-1427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "DAVID",
        "middle_name": "MATTHEW",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1407189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camila Rose Peterson
• Cory Peterson, P.T., D.P.T.
• Craig Jon Peterson, M.D.
• Daniel Peterson
• Daniel L Peterson, M.D.
• Ellen Davis Peterson, CNS
• Genevieve Peterson
• Hahja Lynne Peterson, DC
• Jasmine Peterson, PHARMD
• Jessica Nicole Peterson, OTD, OTR, IBCLC

• Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.

Verify at the official NPI Registry.