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

Jake Puckett, PT, DPT

Individual provider Physical Therapist · NPI 1700568375

Jake Puckett, PT, DPT is a Physical Therapist in Private Practice in LA Grange, Kentucky. Qualified in 2023, 3 years ago. Practices with Sn Kentuckiana Rehab, LLC, a 343-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
3
Licensed in
KY
In the registry since
2023
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

1212 Market St
LA Grange, KY 40031-7986
Phone: (502) 225-9981
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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 008866 (KY)

Record details

NPI number1700568375
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 3, 2023
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023
Mailing address1212 Market St, La Grange, KY 40031-7986

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 Sn Kentuckiana Rehab, Llc — 343 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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