Jacqueline Kettler, OTR/L
NPI 1003684119 · Occupational Therapist · Saint Augustine, FL
Enrolled with Medicare as Practitioner - Occupational Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacqueline Kettler, OTR/L is a Occupational Therapist provider in Saint Augustine, FL (NPI 1003684119).
Provider details
- NPI number
- 1003684119
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 23228 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 144 Cypress Point PkwyPalm Coast, FL 32164-7412Phone: (386) 247-0967
Registry dates
- Enumerated
- 2023-12-18
- Last updated
- 2023-12-18
- Certified
- 2023-12-18
Frequently asked questions
- What is Jacqueline Kettler's NPI number?
- Jacqueline Kettler's National Provider Identifier (NPI) is 1003684119, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacqueline Kettler's specialty?
- Jacqueline Kettler is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jacqueline Kettler located?
- Jacqueline Kettler's practice location on file with NPPES is 150 Village Crossing Ct, Saint Augustine, FL 32084-8697.
- What is Jacqueline Kettler's phone number?
- The practice phone number listed in the NPPES registry for Jacqueline Kettler is (502) 694-5241.
- Does Jacqueline Kettler accept Medicare?
- Jacqueline Kettler is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacqueline Kettler's NPI active?
- Yes — Jacqueline Kettler's NPI (1003684119) is active in the NPPES registry as of the last update on 2023-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.