Dr. Jaclynn Rose Peters, DPT
Physical Therapist, Orthopedic in Healdsburg, CA. Individual provider (NPI-1).
NPI number1407259484
StatusActive
Last updated in NPPESNov 5, 2023
Details
- NPI
- 1407259484
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jaclynn Rose Peters
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2014
- Certification date
- Nov 5, 2023
- Last updated
- Nov 5, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251X0800X | Physical Therapist, Orthopedic | 41755 | CA | Yes |
Practice location
222 Center StHealdsburg, CA 95448-4402
Phone 707-706-0853
Mailing address
222 Center StHealdsburg, CA 95448-4402
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