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

Jacob Henry McCrackin

Individual provider Physical Therapist · NPI 1629964291

Jacob Henry McCrackin is a Physical Therapist in Private Practice in West Plains, Missouri. Qualified in 2025, 1 year ago. Practices with Physical Therapy Specialist Clinic, Inc, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
1
Licensed in
MO
In the registry since
2025
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Practice location Address checks out

1480 W 8th St
West Plains, MO 65775-2010
Phone: (417) 256-5669
Fax: (417) 256-5699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1206 N Main St, Mountain Grove, MO 65711-1025 — (417) 926-5699

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (MO)

Record details

NPI number1629964291
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 17, 2025
Last updated in NPPESJune 17, 2025
Certification dateJune 12, 2025
Mailing address1458 W Main St, West Plains, MO 65775-2434

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Physical Therapy Specialist Clinic, Inc. — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in West Plains