Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jacob Petersen, DPT

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1811440274

Dr. Jacob Petersen, DPT is a Physical Therapist in Private Practice in Pinole, California. Qualified in 2016, 10 years ago. Practices with Spooner Physical Therapy and Hand Rehab, PC, a 200-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2016
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

2160 Appian Way Ste 101
Pinole, CA 94564-2576
Phone: (510) 724-1248
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 291765 (CA)

Record details

NPI number1811440274
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedAugust 2, 2016
Last updated in NPPESAugust 2, 2016
Mailing address8874 Woodmayr Cir, Norwalk, IA 50211-1842

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Spooner Physical Therapy And Hand Rehab, Pc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pinole