National Provider Identifier
Todd Peterson, ATC, PTA
Todd Peterson, ATC, PTA is listed in the NPPES registry with a primary specialty of Athletic Trainer in Rochester, NY and a listed phone number of (585) 225-6296.
Profile Overview
- NPI
- 1790828531
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- February 14, 2007
- Last Updated
- September 11, 2025
Practice Location
- 120 Erie Canal Dr
- Rochester, NY 14626-4607
Phone: (585) 225-6296
Mailing Address
- P.O. Box 195
- East Pembroke, NY 14056
Specialties
- Athletic Trainer (2255A2300X)
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1790828531
- Entity Type
- Individual
- Last Name
- Peterson
- First Name
- Todd
- Credential
- ATC, PTA
- Mailing Street Address
- P.O. Box 195
- Mailing City
- East Pembroke
- Mailing State
- NY
- Mailing ZIP Code
- 14056
- Mailing Country
- US
- Mailing Phone
- (585) 762-8883
- Practice Street Address
- 120 Erie Canal Dr
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4607
- Practice Country
- US
- Practice Phone
- (585) 225-6296
- Enumeration Date
- February 14, 2007
- Last Updated
- September 11, 2025
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X), Physical Therapy Assistant (225200000X)