Jacob Peters, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17909-24 Issued in WI

Practice address

2600 S Wisconsin Ave Ste a
Rice Lake, WI 54868-7532

Phone

(715) 236-3610

Fax

(715) 236-3615

NPI assigned

Aug 21, 2026

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Optimum Therapies of Rice Lake

  dba Optimum Therapies of Rice Lake, LLC

  • Physical Therapist
  • Barron, WI
  • NPI 1982296331
  NPD (past)
• Optimum Therapies of Rice Lake

  • Physical Therapy Clinic/Center
  • Rice Lake, WI
  • NPI 1992338909

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1669388351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S WISCONSIN AVE STE A",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548687532",
            "telephone_number": "715-236-3610",
            "fax_number": "715-236-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S WISCONSIN AVE STE A",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548687532",
            "telephone_number": "715-236-3610",
            "fax_number": "715-236-3615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1151 E Division Ave",
            "address_purpose": "LOCATION",
            "city": "Barron",
            "state": "WI",
            "postal_code": "548121201",
            "country_code": "US",
            "telephone_number": "715-637-3610",
            "fax_number": "715-537-4610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "JACOB",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-21",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "17909-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard F Pebler, MD
• Nicole L. Pederson, DPT
• Thomas Michael Pelant, M.D.
• Michelle J Perlick, PT
• Meghan C. Pesko, M.D.
• James M Peters, DO
• Kayla Petersen, LPC
• Marjorie Mary Peterson, COTA
• Thomas L Peterson, MD
• Philip S. Henkel, M.D., S.C.

• Physical Therapist in Rice Lake, WI
• Providers in Rice Lake, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.