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

Jacob Randall Ewigman, PT, DPT

Individual provider Physical Therapist · NPI 1710447198

Jacob Randall Ewigman, PT, DPT is a Physical Therapist in Private Practice in Kansas City, Kansas. Graduated from University of Missouri, Columbia School of Medicine in 2018, 8 years ago. Practices with Serc Rebabilitation Partners, LLC, a 211-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
8
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
KS
In the registry since
2019
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

7925 State Ave
Kansas City, KS 66112-2465
Phone: (913) 334-9930
Fax: (913) 334-9941
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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 11-05960 (KS)

Record details

NPI number1710447198
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMarch 22, 2019
Last updated in NPPESDecember 14, 2022
Certification dateDecember 14, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Serc Rebabilitation Partners, Llc — 211 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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