Jenna M. Peterson, DPT
NPI 1427663657ActiveIndividual· Physical Therapist· Eagle River, WI
Physical Therapist (DPT) in Eagle River, Wisconsin, trained at At Still Un of Hlth Sciences, Col of Osteo Med, Mesa (class of 2020). Enrolled in Medicare as practitioner - physical therapist in private practice and practitioner - physical therapist in private practice.
Overview
| NPI | 1427663657 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Sep 14, 2020 |
| Last updated in NPPES | Apr 12, 2026 |
| Certified by provider | Apr 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 105170 | IA |
| Physical Therapist | 225100000X | CP043561T | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (AZ); Practitioner - Physical Therapist in Private Practice (IA); Practitioner - Physical Therapist in Private Practice (SC) |
|---|
Education and affiliations
| Medical school | At Still Un of Hlth Sciences, Col of Osteo Med, Mesa |
|---|---|
| Graduation year | 2020 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Apex Physical Therapy, LLCFreeburg, IL · 105 clinicians
- Apexnetwork Marana LLCMarana, AZ · 8 clinicians
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