NPPES file of Aug 9, 2026

Jackalyn Nicole Peterson, DPT

Specialist · Fairfax, VA

Jackalyn Nicole Peterson, DPT is a specialist with a practice address in Fairfax, Virginia, and NPI 1013241769, issued on Sep 29, 2009. Check the license (Virginia 2305206191, as entered in NPPES) with the Virginia board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1013241769
Name
Jackalyn Nicole Peterson
Credential
DPT
Primary taxonomy
Specialist 174400000X
License number
2305206191 VA
Self-reported in NPPES; status is on the state search
Practice location
9860 Fairfax Blvd, Fairfax, VA 22030
Phone
(703) 383-1616
Enumerated
Sep 29, 2009
Record last updated
Nov 14, 2016 (not updated in 10 years: call before relying on the address or phone)
Fax
(703) 383-1166
Medicare enrollment
Enrolled (PECOS I20191126003266); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest specialist records → All 798 in Virginia → Look up another NPI →

Also registered at 9860 Fairfax Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Erin Burford, DPT, PTSpecialist1568838324
  2. Amy Campbell, MSPTSpecialist1851384853
  3. Karen Gallagher, DPTPhysical Therapist1851462493
  4. Duncan Gerhard, DPTSpecialist1942380332
  5. Wanda Grove, PTPhysical Therapist1427269430
  6. Danielle Leber, PTPhysical Therapist1447598313

Verify Jackalyn Nicole Peterson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Virginia board licenses this profession
    Search for license 2305206191    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Virginia license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Excel Rehabilitation PLLCAldie, VA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jackalyn Nicole Peterson among 798 specialist records in Virginia

Jackalyn Nicole Peterson, DPT is one of 798 specialist records with a practice address in Virginia. 30% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 72% of them.

  • NPI issued2009 · 72% of these records are older, 25% newer
  • In a Medicare fileYes · 30% of these records are
  • In the CMS Doctors and Clinicians fileYes · 21% of these records are
  • Graduated2009 · median 1989 among the 167 with a school on file
  • Record last updated2016 · 81% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 174400000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Specialist providers in Virginia

There are 798 specialist records in Virginia.

All 798 in Virginia → Every provider in Fairfax → Specialist nationwide →

The 8 specialist records with the nearest ZIP codes

  1. Amer Al-Juburi, M.D.Fairfax, VA 220301396729372
  2. Susan Baird, PTFairfax, VA 220301871586982
  3. Amy Campbell, MSPTFairfax, VA 220301851384853
  4. Olympia Dallas, MDFairfax, VA 220301043243728
  5. Sharon DorhofferFairfax, VA 220301194844878
  6. Duncan Gerhard, DPTFairfax, VA 220301942380332
  7. Linda Glick, CMTFairfax, VA 220301861679896
  8. Mubarik Khan, MDFairfax, VA 220301336169598

Common questions

What is Jackalyn Nicole Peterson, DPT's NPI number?

Jackalyn Nicole Peterson, DPT's National Provider Identifier (NPI) is 1013241769, issued on Sep 29, 2009. An NPI identifies a provider in billing; it is not a license.

Where is Jackalyn Nicole Peterson, DPT located?

The NPPES record lists a practice address at 9860 Fairfax Blvd, Fairfax, VA, 22030. Phone: (703) 383-1616. Providers update this record themselves, so call before visiting.

How can I verify Jackalyn Nicole Peterson, DPT's license?

NPPES lists Virginia license number 2305206191, as entered by the provider. Search the Virginia board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.