IndividualActive
Jeremy Peters
NPI 1194028613 · Sports Physical Therapist · Rochester, NY
Provider details
- NPI number
- 1194028613
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 032669 (NY)
Practice location
4901 Lac De Ville Blvd # D-110
Rochester, NY 14618-5647
Phone: (585) 341-9150
Mailing address
4901 Lac De Ville Blvd # D-110
Rochester, NY 14618-5647
Registry dates
- Enumerated
- 2010-12-06
- Last updated
- 2010-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.