TODD PETERSON ATC, PTA
NPI 1790828531
Specialist/Technologist - Athletic Trainer in Rochester, NY
NPI Status: Active since February 14, 2007
Contact Information
120 ERIE CANAL DR
ROCHESTER, NY
ZIP 14626
Phone: (585) 225-6296
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Individual
- Male
- Specialist/Technologist
- Athletic Trainer
About TODD PETERSON
This page provides the complete NPI Profile along with additional information for Todd Peterson, a provider established in Rochester, New York with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1790828531 assigned on February 2007. The practitioner's primary taxonomy code is 2255A2300X with license number 001176-1 (NY). The provider is registered as an individual and his NPI record was last updated September 2025.
- NPI
- 1790828531
- Provider Name
- TODD PETERSON ATC, PTA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 120 ERIE CANAL DR ROCHESTER, NY 14626
- Location Phone
- (585) 225-6296
- Mailing Address
- P.O. BOX 195 EAST PEMBROKE, NY 14056
- Mailing Phone
- (585) 762-8883
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-14-2007
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist/Technologist Athletic Trainer
- Taxonomy Code
- 2255A2300X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 001176-1
- License State
- NY
- Taxonomy Description
- Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant | 003649-1 (NY) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 9 | 0 | 8 | 2 | 8 | 5 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 16 | 2 | 16 | 5 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 1 + 6 + 2 + 1 + 6 + 5 + 6 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1790828531 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1891760682 | MICHAEL MIRWALD M.D. Individual | Obstetrics & Gynecology | 120 ERIE CANAL DR SUITE 200 ROCHESTER, NY 14626 (585) 225-6680 |
| 1487797288 | MRS. MELISSA ANN WILSON MS ATC Individual | Specialist/Technologist (Athletic Trainer) | 120 ERIE CANAL DR ROCHESTER, NY 14626 (585) 225-6296 |
| 1720261415 | MRS. JESSICA HAFFEY MS, PT Individual | Specialist | 120 ERIE CANAL DR SUITE 310 ROCHESTER, NY 14626 (585) 225-6296 |
| 1306029087 | MISS SARAH D WAIT ATC, LAT Individual | Specialist | 120 ERIE CANAL DR SUITE 310 ROCHESTER, NY 14626 (585) 225-6296 |
| 1013148154 | MRS. SHANNON N SCHILLER PT Individual | Physical Therapist | 120 ERIE CANAL DR SUITE 310 ROCHESTER, NY 14626 (585) 225-6296 |
| 1477528263 | DARUSHE ANISSI M.D. Individual | Obstetrics & Gynecology | 120 ERIE CANAL DR SUITE 200 ROCHESTER, NY 14626 (585) 225-6680 |
| 1871647388 | DR. MICAH JEREMY SUGARMAN D.C., P.T. Individual | Physical Therapist | 120 ERIE CANAL DR SUITE 130 ROCHESTER, NY 14626 (585) 471-5025 |
| 1710941901 | RIDGEWOOD DIAGNOSTIC IMAGING Organization | Radiology (Diagnostic Radiology) | 120 ERIE CANAL DR ROCHESTER, NY 14626 (585) 723-0111 |
| 1346678067 | MRS. STEPHANIE MARIE SAVAGE NP Individual | Nurse Practitioner (Family) | 120 ERIE CANAL DR ROCHESTER, NY 14626 (585) 719-9872 |
| 1003925215 | DR. YANA VEYBERMAN IGNATOVICH M.D. Individual | Dermatology | 120 ERIE CANAL DR ROCHESTER, NY 14626 (585) 719-9600 |
| 1790234722 | RIDGEWAY PHYSICAL THERAPY AND CHIROPRACTIC PLLC Organization | Physical Therapist | 120 ERIE CANAL DR SUITE 130 ROCHESTER, NY 14626 (585) 471-5025 |
| 1629044136 | THOMAS SWEENEY M.D. Individual | Obstetrics & Gynecology (Gynecology) | 120 ERIE CANAL DR ROCHESTER, NY 14626 (585) 225-6680 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790828531, enumerated in the NPI registry as an "individual" on February 14, 2007
The provider is located at 120 Erie Canal Dr Rochester, Ny 14626 and the phone number is (585) 225-6296
The provider's speciality is Specialist/Technologist with taxonomy code 2255A2300X with a focus in Athletic Trainer
This NPI record was last updated on February 14, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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