JACOB PETERS DPT
NPI 1669388351
Physical Therapist in Rice Lake, WI
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
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.
Secondary Practice Location 1
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).
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.
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.
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.