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

Jesse Fannon, DPT

Individual provider Physical Therapist · NPI 1942051982

Jesse Fannon, DPT is a Physical Therapist in Private Practice in Ann Arbor, Michigan. Qualified in 2023, 3 years ago. Practices with Team Rehabilitation Services LLC, a 569-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2024
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3520 Green Ct Ste 1200
Ann Arbor, MI 48105-1595
Phone: (734) 239-8110
Fax: (734) 239-8111
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501303069 (MI)

Record details

NPI number1942051982
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 28, 2024
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026
Mailing address33900 Harper Ave Ste 104, Clinton Township, MI 48035-4258

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Team Rehabilitation Services Llc — 569 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ann Arbor