Jacob Kettner, PT
NPI 1225683808 · Physical Therapist · Warrensburg, MO
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacob Kettner, PT is a Physical Therapist provider in Warrensburg, MO (NPI 1225683808).
Provider details
- NPI number
- 1225683808
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- CP034808T (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Pediatric Physical Therapist2251P0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
6 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
808 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 264 | $25 |
| Therapy Procedure Using Functional Activities97530 | 229 | $30 |
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 148 | $20 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 110 | $19 |
| Therapy Procedure in a Group Setting97150 | 38 | $13 |
| Evaluation for Physical Therapy, Typically 20 Minutes97161 | 19 | $93 |
Practice location
Mailing address
Additional practice locations (2)
- 3399 Black Forest Dr Ste 3Fayetteville, AR 72704-6541Phone: (417) 300-9965Fax: (417) 494-4173
- 6815 Isaacs Orchard Rd Ste DSpringdale, AR 72762-6285Phone: (479) 856-6400
Registry dates
- Enumerated
- 2019-08-09
- Last updated
- 2024-12-23
- Certified
- 2024-12-23
Frequently asked questions
- What is Jacob Kettner's NPI number?
- Jacob Kettner's National Provider Identifier (NPI) is 1225683808, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Kettner's specialty?
- Jacob Kettner is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jacob Kettner located?
- Jacob Kettner's practice location on file with NPPES is 540 E Young Ave Ste E, Warrensburg, MO 64093-1250.
- What is Jacob Kettner's phone number?
- The practice phone number listed in the NPPES registry for Jacob Kettner is (660) 262-4795.
- Does Jacob Kettner accept Medicare?
- Jacob Kettner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacob Kettner's NPI active?
- Yes — Jacob Kettner's NPI (1225683808) is active in the NPPES registry as of the last update on 2024-12-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.