DR. JACOB PETERSEN DPT
NPI 1811440274
Physical Medicine & Rehabilitation in Pinole, CA

Active since August 02, 2016Accepts Medicare Assignment
2160 APPIAN WAY, SUITE 101, PINOLE, CA 94564(510) 724-1248 Get Directions Write a Review

NPPES record last updated: August 2, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jacob Petersen Dpt NPPES

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

DR. JACOB PETERSEN DPT (NPI 1811440274) is an individual physical medicine & rehabilitation provider in Pinole, California, licensed in California (291765) and active in the NPI registry since August 2016. He is a graduate of Other (2016).

NPPES Registry Identity

NPI1811440274
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDR. JACOB PETERSENCredential: DPT
Location Address2160 APPIAN WAY, SUITE 101Pinole, CA 94564-2576
Mailing Address8874 Woodmayr CirNorwalk, IA 50211-1842
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 2, 2016
NPI 1811440274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in CA · 291765
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.

2160 APPIAN WAY, Pinole, CA 94564

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jacob Petersen Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456703578
PECOS Enrollment IDI20240113000697

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
1,533 services125 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
1,095 services119 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
1,038 services125 patients
Therapy procedure in a group setting 97150
Group therapy involves meeting with a trained therapist alongside others facing similar challenges. It provides a supportive environment to share experiences, learn coping strategies, and gain insights from others. It's a safe space for personal growth and mutual support.
744 services109 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
636 services84 patients
Training for self-care or home management, each 15 minutes 97535
This service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.
422 services105 patients

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.

Nurse Practitioner (Family)
2160 APPIAN WAY, SUITE 200
PINOLE, CA 94564
Otolaryngology (Facial Plastic Surgery)
2160 APPIAN WAY, SUITE 202
PINOLE, CA 94564
Internal Medicine
2160 APPIAN WAY, SUITE 105
PINOLE, CA 94564
Internal Medicine
2160 APPIAN WAY, SUITE 105
PINOLE, CA 94564
Family Medicine
2160 APPIAN WAY, SUITE 200
PINOLE, CA 94564
Specialist
2160 APPIAN WAY, SUITE 205
PINOLE, CA 94564
Clinic/Center (Physical Therapy)
2160 APPIAN WAY, STE 101
PINOLE, CA 94564
Occupational Therapist (Hand)
2160 APPIAN WAY, 101
PINOLE, CA 94564

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 Petersen's NPI number?

The NPI number for Jacob Petersen is 1811440274. It was assigned to this individual provider in the NPPES registry on August 2, 2016.

Where is Jacob Petersen located?

Jacob Petersen practices at 2160 Appian Way Suite 101, Pinole, CA 94564. The listed phone number is (510) 724-1248.

What is Jacob Petersen's specialty?

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

Is Jacob Petersen enrolled in Medicare?

Yes. Jacob Petersen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jacob Petersen was last updated on August 2, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.