NPI age
10 years
Enumerated 2016-02-29
● Active
Type 1 · Individual
Jeffrey Petersen, PT
Petersen is 1 of 4 physical therapist providers in Bonners Ferry and 1 of 2006 in Idaho.
Primary specialty
Physical Therapist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-02-29
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 2006 active physical therapist providers in Idaho.
NPI age
10 years
≈ at median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties
NPI lifetime · 2016 → 2026
2016-02Enumerated in NPPES
2016
2026
Where they practice
Practice location
6640 Kaniksu St
Bonners Ferry, ID 838057532
Mailing address
6640 Kaniksu St
Bonners Ferry, ID 838057532
Specialties
-
Physical Therapist PrimaryPhysical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
Practice context
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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