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

Kennedy Jo Kroeckel

Individual provider Physical Therapist · NPI 1366133894

Kennedy Jo Kroeckel is a Physical Therapist in Private Practice in Defiance, Ohio. Qualified in 2023, 3 years ago. Practices with Defiance Physical Therapy and Sports Medicine, LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Ohio.

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

851 S Clinton St
Defiance, OH 43512-2770
Phone: (419) 785-4415
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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 020493 (OH)

Record details

NPI number1366133894
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 16, 2023
Last updated in NPPESMay 16, 2023
Certification dateMay 16, 2023
Mailing address851 S Clinton St, Defiance, OH 43512-2770

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 Defiance Physical Therapy And Sports Medicine, Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Defiance