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

Jacob Kutcher

Individual provider Physical Therapist · NPI 1588437982

Jacob Kutcher is a Physical Therapist in Private Practice in Melbourne, Florida. Qualified in 2023, 3 years ago. Practices with Physical Therapy Professionals LLC, a 14-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
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Practice location Address checks out

2200 W Eau Gallie Blvd Ste 105
Melbourne, FL 32935-3166
Phone: (321) 255-2818
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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 PT40864 (FL)

Record details

NPI number1588437982
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 7, 2023
Last updated in NPPESNovember 7, 2023
Certification dateNovember 7, 2023
Mailing address2200 W Eau Gallie Blvd Ste 105, Melbourne, FL 32935-3166

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 Physical Therapy Professionals Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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