Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JASON PETUSEVSKY DO
NPI 1457987133
Physical Medicine & Rehabilitation in Sacramento, CA

Active since March 13, 2020PECOS Enrolled
4860 Y ST, SACRAMENTO, CA 95817(954) 591-5873 Get Directions Write a Review

NPPES record last updated: November 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 6, 2026, Apr 23, 2026, Feb 15, 2025 and 1 more (4 updates tracked since 2020).

About Jason Petusevsky Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASON PETUSEVSKY DO (NPI 1457987133) is an individual physical medicine & rehabilitation provider in Sacramento, California, licensed in Nevada (DO4203) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457987133
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameJASON PETUSEVSKYCredential: DO
Location Address4860 Y STSacramento, CA 95817-2307
Mailing Address2170 South AveSouth Lake Tahoe, CA 96150-7026
Sole ProprietorYes
Enumeration DateMarch 13, 2020
Last NPPES UpdateNovember 6, 20264 updates tracked since enumeration
NPPES CertifiedNovember 6, 2026
✔ NPI 1457987133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License✔ Licensed in NV · DO4203
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X · License DO4203 (NV)
4860 Y ST, Sacramento, CA 95817

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Petusevsky Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Student in an Organized Health Care Education/Training Program
4860 Y ST, SUITE 3850
SACRAMENTO, CA 95817
Internal Medicine
4860 Y ST, SUITE 0101
SACRAMENTO, CA 95817
Internal Medicine
4860 Y ST, SUITE 0100
SACRAMENTO, CA 95817
Physical Medicine & Rehabilitation
4860 Y ST, SUITE 3850
SACRAMENTO, CA 95817
Obstetrics & Gynecology
4860 Y ST
SACRAMENTO, CA 95817
General Acute Care Hospital
4860 Y ST
SACRAMENTO, CA 95817
Obstetrics & Gynecology (Maternal & Fetal Medicine)
4860 Y ST
SACRAMENTO, CA 95817
Internal Medicine (Cardiovascular Disease)
4860 Y ST, SUITE 2820
SACRAMENTO, CA 95817

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 Jason Petusevsky's NPI number?

The NPI number for Jason Petusevsky is 1457987133. It was assigned to this individual provider in the NPPES registry on March 13, 2020.

Where is Jason Petusevsky located?

Jason Petusevsky practices at 4860 Y St, Sacramento, CA 95817. The listed phone number is (954) 591-5873.

What is Jason Petusevsky's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Jason Petusevsky enrolled in Medicare?

Yes. Jason Petusevsky is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jason Petusevsky was last updated on November 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.