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

Jacob Kettner, PT

Individual provider Physical Therapist · NPI 1225683808

Jacob Kettner, PT is a Physical Therapist in Private Practice in Warrensburg, Missouri. Qualified in 2019, 7 years ago. Practices with Advanced Physical Therapy LLC, a 13-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arkansas and Missouri.

Years since qualifying
7
Licensed in
AR, MO
In the registry since
2019
Specialties on file
3
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

540 E Young Ave Ste E
Warrensburg, MO 64093-1250
Phone: (660) 262-4795
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3399 Black Forest Dr Ste 3, Fayetteville, AR 72704-6541 — (417) 300-9965
  • 6815 Isaacs Orchard Rd Ste D, Springdale, AR 72762-6285 — (479) 856-6400

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence CP034808T (MO)
Pediatric Physical Therapist Taxonomy 2251P0200X
Physical Therapist Taxonomy 225100000X · Licence PT4666 (AR)

Record details

NPI number1225683808
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 9, 2019
Last updated in NPPESDecember 23, 2024
Certification dateDecember 23, 2024
Mailing address1200 Corporate Dr Ste 400, Hoover, AL 35242-5424

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Advanced Physical Therapy Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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