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

Kennedy Jo Kroeckel

Individual provider Physical Therapist · NPI 1366133894

Kennedy Jo Kroeckel is a Physical Therapist in Private Practice in Defiance, Ohio. Qualified in 2023, 3 years ago. Practices with Defiance Physical Therapy and Sports Medicine, LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Ohio.

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

851 S Clinton St
Defiance, OH 43512-2770
Phone: (419) 785-4415
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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 020493 (OH)

Record details

NPI number1366133894
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 16, 2023
Last updated in NPPESMay 16, 2023
Certification dateMay 16, 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 Defiance Physical Therapy And Sports Medicine, Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Defiance