Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JACOB PETERS DPT
NPI 1669388351
Physical Therapist in Rice Lake, WI

Active since August 21, 2026
2600 S WISCONSIN AVE STE A, RICE LAKE, WI 54868(715) 236-3610(715) 236-3615 Get Directions Write a Review

NPPES record added: August 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacob Peters Dpt NPPES

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

JACOB PETERS DPT (NPI 1669388351) is an individual physical therapist in Rice Lake, Wisconsin, licensed in Wisconsin (17909-24) and active in the NPI registry since August 2026. He maintains a secondary practice location in Barron and is a graduate of Other (2026).

NPPES Registry Identity

NPI1669388351
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJACOB PETERSCredential: DPT
Location Address2600 S WISCONSIN AVE STE ARice Lake, WI 54868-7532
Mailing Address2600 S Wisconsin Ave Ste ARice Lake, WI 54868-7532 · (715) 236-3610 · Fax (715) 236-3615
Fax(715) 236-3615
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateAugust 21, 2026
NPPES CertifiedAugust 21, 2026
✔ NPI 1669388351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in WI · 17909-24
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
2600 S WISCONSIN AVE STE A, Rice Lake, WI 54868

Secondary Practice Location 1

Location 11151 E Division AveBarron, WI 54812-1201 · Phone (715) 637-3610 · Fax (715) 537-4610

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Peters Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204396757
PECOS Enrollment IDI20260903001143

Medicare Billing Reassignment

Medicare enrollment records show Jacob Peters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapy
2600 S WISCONSIN AVE STE 1
Rice Lake, WI 54868
  • Reassigned Medicare billing, Wisconsin enrollment
  • 8 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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
2600 S WISCONSIN AVE STE A
RICE LAKE, WI 54868
Physical Therapist
2600 S WISCONSIN AVE STE A
RICE LAKE, WI 54868

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 Jacob Peters's NPI number?

The NPI number for Jacob Peters is 1669388351. It was assigned to this individual provider in the NPPES registry on August 21, 2026.

Where is Jacob Peters located?

Jacob Peters practices at 2600 S Wisconsin Ave Ste A, Rice Lake, WI 54868. The listed phone number is (715) 236-3610.

What is Jacob Peters's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jacob Peters enrolled in Medicare?

Yes. Jacob Peters is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacob Peters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Peters reassigns Medicare benefits to Optimum Therapies Of Rice Lake (Rice Lake, WI). 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 Jacob Peters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacob Peters was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.