Jacob Frederick, DPT
NPI 1124811393 · Physical Therapist · O Fallon, MO
Jacob Frederick, DPT is a Physical Therapist provider in O Fallon, MO (NPI 1124811393).
Provider details
- NPI number
- 1124811393
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 2025017762 (MO)
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
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2025-05-28
- Last updated
- 2025-05-28
- Certified
- 2025-05-28
Frequently asked questions
- What is Jacob Frederick's NPI number?
- Jacob Frederick's National Provider Identifier (NPI) is 1124811393, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Frederick's specialty?
- Jacob Frederick is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jacob Frederick located?
- Jacob Frederick's practice location on file with NPPES is 3074 Winghaven Blvd, O Fallon, MO 63368-3620.
- What is Jacob Frederick's phone number?
- The practice phone number listed in the NPPES registry for Jacob Frederick is (636) 265-4100.
- Is Jacob Frederick's NPI active?
- Yes — Jacob Frederick's NPI (1124811393) is active in the NPPES registry as of the last update on 2025-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.