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

Jacob Kutcher

Individual provider Physical Therapist · NPI 1588437982

Jacob Kutcher is a Physical Therapist in Private Practice in Melbourne, Florida. Qualified in 2023, 3 years ago. Practices with Physical Therapy Professionals LLC, a 14-clinician group and accepts Medicare assignment. Licensed in Florida.

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

2200 W Eau Gallie Blvd Ste 105
Melbourne, FL 32935-3166
Phone: (321) 255-2818
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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 PT40864 (FL)

Record details

NPI number1588437982
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 7, 2023
Last updated in NPPESNovember 7, 2023
Certification dateNovember 7, 2023

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 Physical Therapy Professionals Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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