JACOB KUTCHER – Physical Therapist, NPI 1588437982

JACOB KUTCHER is a healthcare provider. based in Melbourne, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT40864 (FL). The NPI Number for JACOB KUTCHER is 1588437982

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
JACOB KUTCHER
NPI
1588437982
Phone
(321) 255-2818
Address
2200 W EAU GALLIE BLVD STE 105
Enumeration Date
7 November 2023
Last Update Date
7 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3218029645
Graduation Year
2023 (3 years ago)
PAC ID
5597298703
Group Practice PAC ID
2567461825
Professional Enrollment ID
I20241026000410
Address ID
FL329073103PA470XXSEXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for JACOB KUTCHER

  • 2200 W EAU GALLIE BLVD STE 105

    MELBOURNE, FL 329353166

    Phone: (321) 255-2818

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241026000410IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32935)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567461825View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
-FL

Reviews

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Frequently asked questions

What is the registry number for JACOB KUTCHER?
The registry entry for JACOB KUTCHER shows NPI 1588437982.
Is JACOB KUTCHER currently accepting referrals based on NPI status?
Registry metadata lists JACOB KUTCHER as active.
What does the directory say JACOB KUTCHER does?
Insurance directories may phrase it differently, but here JACOB KUTCHER maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JACOB KUTCHER?
JACOB KUTCHER is associated with Melbourne, Florida in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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