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

Jacob John Kmiecik, DPT

Individual provider Physical Therapist · NPI 1578043089

Jacob John Kmiecik, DPT is a Physical Therapist in Private Practice in Seattle, Washington. Graduated from Creighton University School of Medicine in 2018, 8 years ago. Practices with Emerald City Physical Therapy Svcs LLC, a 21-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
8
Trained at
Creighton University School of Medicine
Licensed in
WA
In the registry since
2018
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1218 3rd Ave Ste 104
Seattle, WA 98101-3008
Phone: (206) 447-2220
Fax: (206) 447-2228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT60852959 (WA)

Record details

NPI number1578043089
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 15, 2018
Last updated in NPPESAugust 15, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Emerald City Physical Therapy Svcs Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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