Provider Demographics
NPI:1073490520
Name:CONTRERAS, PEYTON (PTA)
Entity type:Individual
Prefix:
First Name:PEYTON
Middle Name:
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 COLLEGE PARK DR
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76086-5653
Mailing Address - Country:US
Mailing Address - Phone:817-341-3600
Mailing Address - Fax:817-599-8181
Practice Address - Street 1:141 COLLEGE PARK DR
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-5653
Practice Address - Country:US
Practice Address - Phone:817-341-3600
Practice Address - Fax:817-599-8181
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant