Jordan Peterson, PT
NPI 1114538170 · Physical Therapist · Bemidji, MN
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jordan Peterson, PT is a Physical Therapist provider in Bemidji, MN (NPI 1114538170).
Provider details
- NPI number
- 1114538170
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 11996 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-08-13
- Last updated
- 2020-08-13
- Certified
- 2020-08-13
Frequently asked questions
- What is Jordan Peterson's NPI number?
- Jordan Peterson's National Provider Identifier (NPI) is 1114538170, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordan Peterson's specialty?
- Jordan Peterson is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jordan Peterson located?
- Jordan Peterson's practice location on file with NPPES is 3835 Supreme Ct Nw Ste 2, Bemidji, MN 56601-4485.
- What is Jordan Peterson's phone number?
- The practice phone number listed in the NPPES registry for Jordan Peterson is (218) 444-8280.
- Does Jordan Peterson accept Medicare?
- Jordan Peterson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jordan Peterson's NPI active?
- Yes — Jordan Peterson's NPI (1114538170) is active in the NPPES registry as of the last update on 2020-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.