JORDAN B PETERSON PT
NPI 1114538170
Physical Therapist in Bemidji, MN
About Jordan B Peterson Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN B PETERSON PT (NPI 1114538170) is an individual physical therapist in Bemidji, Minnesota, licensed in Minnesota (11996) and active in the NPI registry since August 2020.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jordan B Peterson Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jordan Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bemidji, MN 56601
- Reassigned Medicare billing, Minnesota enrollment
- 47 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jordan Peterson's NPI number?
The NPI number for Jordan Peterson is 1114538170. It was assigned to this individual provider in the NPPES registry on August 13, 2020.
Where is Jordan Peterson located?
Jordan Peterson practices at 3835 Supreme Ct NW Ste 2, Bemidji, MN 56601. The listed phone number is (218) 444-8280.
What is Jordan Peterson's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Jordan Peterson enrolled in Medicare?
Yes. Jordan Peterson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jordan Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Peterson reassigns Medicare benefits to Choice Therapy, P.A. (Bemidji, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jordan Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jordan Peterson accept?
Health plans from Sanford Health Plan list Jordan Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jordan Peterson was last updated on August 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.