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

Kristina A Jaeckel, PT

Individual provider Physical Therapist · NPI 1821228842

Kristina A Jaeckel, PT is a Physical Therapist in Private Practice in Worcester, Massachusetts. Qualified in 1999, 27 years ago. Practices with Greendale Physical Therapy LLC, a 35-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
27
Licensed in
MA
In the registry since
2009
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

120 Gold Star Blvd
Worcester, MA 01606-2825
Phone: (508) 453-4590
Fax: (508) 459-5900
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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 13405 (MA)

Record details

NPI number1821228842
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 24, 2009
Last updated in NPPESAugust 12, 2015

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Greendale Physical Therapy Llc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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