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

DR. JORDAN JAMES PETERSEN DO
NPI 1952979163
Physical Medicine & Rehabilitation in Dearborn, MI

Active since June 14, 2021PECOS Enrolled
17000 HUBBARD DR STE 800, DEARBORN, MI 48126(313) 240-7595 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 1, 2026, Jun 8, 2025, May 11, 2025 and 2 more (5 updates tracked since 2021).

About Dr. Jordan James Petersen Do NPPES

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

DR. JORDAN JAMES PETERSEN DO (NPI 1952979163) is an individual physical medicine & rehabilitation provider in Dearborn, Michigan, licensed in Michigan (5101028465) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Ann Arbor, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1952979163
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDR. JORDAN JAMES PETERSENCredential: DO
Location Address17000 HUBBARD DR STE 800Dearborn, MI 48126-4205
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 14, 2021
Last NPPES UpdateSeptember 1, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1952979163 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 MI · 5101028465
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 5101028465 (MI)
17000 HUBBARD DR STE 800, Dearborn, MI 48126

Secondary Practice Location 1

Location 1325 E Eisenhower PkwyAnn Arbor, MI 48108-3364 · Phone (734) 763-6464

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jordan James Petersen Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567862253
PECOS Enrollment IDI20260807003635
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 5

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

Physical Medicine & Rehabilitation
17000 HUBBARD DR STE 800
DEARBORN, MI 48126
Physical Medicine & Rehabilitation
17000 HUBBARD DR STE 800
DEARBORN, MI 48126
Physical Medicine & Rehabilitation
17000 HUBBARD DR STE 800
DEARBORN, MI 48126
Physical Medicine & Rehabilitation
17000 HUBBARD DR STE 800
DEARBORN, MI 48126
Physical Medicine & Rehabilitation
17000 HUBBARD DR STE 800
DEARBORN, MI 48126

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 Petersen's NPI number?

The NPI number for Jordan Petersen is 1952979163. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Where is Jordan Petersen located?

Jordan Petersen practices at 17000 Hubbard Dr Ste 800, Dearborn, MI 48126. The listed phone number is (313) 240-7595.

What is Jordan Petersen's specialty?

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

Is Jordan Petersen enrolled in Medicare?

Yes. Jordan Petersen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jordan Petersen was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 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.