Jesse Daniel Whittemore

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502006302 Issued in MI

Practice address

20059 King Rd
Woodhaven, MI 48183-1032

Phone

(734) 365-5112

Fax

(734) 365-5115

NPI assigned

Aug 12, 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

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

{
    "created_epoch": "1786492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1730004110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20059 KING RD",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481831032",
            "telephone_number": "734-365-5112",
            "fax_number": "734-365-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTEMORE",
        "first_name": "JESSE",
        "middle_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-12",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502006302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East, LP
• Rachel Marie Weatherhead, D.D.S.
• Beverly Weberman
• Wellstreet Urgent Care of Michigan
• Western Rehab Services ,Inc.
• Woodhaven Specialists PC
• Woodward Detroit CVS LLC
• Ninos Yacoub, M.D.
• Yahweh Jireh Care Management Network, LLC.
• Erica S. Yi, D.D.S

• Physical Therapy Assistant in Woodhaven, MI
• Providers in Woodhaven, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.