JACOB STUCKY – Physical Therapist, NPI 1053766022

JACOB STUCKY is a healthcare provider. based in Hutchinson, Kansas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for JACOB STUCKY is 1053766022

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
JACOB STUCKY
NPI
1053766022
Phone
(620) 669-2500
Address
2101 N WALDRON ST
Enumeration Date
27 April 2016
Last Update Date
18 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6206692500
Graduation Year
2016 (10 years ago)
PAC ID
1759676547
Group Practice PAC ID
5597658492
Professional Enrollment ID
I20160817003197
Address ID
KS675021131HU2101XSTXX400

Contacts

Secure Messaging
jacobstucky@hcpa.allscriptsdirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:10State licenses:0Other namesUpdated within 12 months

1,046 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KS

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Provider Addresses for JACOB STUCKY

  • North Waldron Street, Hutchinson, Reno County, Kansas, 67504, United States

    HUTCHINSON, KS 675021131

    Phone: (620) 669-2500

    Fax: (620) 694-4000

    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: 2016-08-17

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
I20160817003197IPhysical Therapist In Private PracticeKSTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes2,740256$0
97161Evaluation for physical therapy, typically 20 minutes208188$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes3119$0
View full utilization report →

Insurance plans in this area (ZIP 67502)

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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: 5597658492View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KS
Nurse PractitionerKS
R H E U M A T O L O G YKS
H E M A T O L O G Y/ O N C O L O G YKS
Physician AssistantKS
-KS
Gastroenterology, Internal MedicineKS
D E R M A T O L O G YKS
Physician AssistantKS
O B S T E T R I C S/ G Y N E C O L O G YKS

Reviews

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Frequently asked questions

Is there an official ID for JACOB STUCKY in U.S. healthcare records?
The official identifier for JACOB STUCKY is NPI 1053766022.
Is JACOB STUCKY shown as active in public data?
Registry records indicate JACOB STUCKY maintains an active NPI.
What expertise is attributed to JACOB STUCKY?
JACOB STUCKY's specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JACOB STUCKY?
Travel planning: use Hutchinson, Kansas as the reference point for JACOB STUCKY, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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