JACOB NO KRINGLE (DPT) – Physical Therapist, NPI 1205366879

JACOB NO KRINGLE (DPT) is a healthcare provider. based in Gothenburg, Nebraska. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 3704 (NE). The NPI Number for JACOB NO KRINGLE (DPT) is 1205366879

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
JACOB NO KRINGLE (DPT)
NPI
1205366879
Phone
(308) 537-3600
Address
523 10th St
Enumeration Date
15 June 2017
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6158966400
Graduation Year
2017 (9 years ago)
PAC ID
6103197827
Group Practice PAC ID
9638086432
Professional Enrollment ID
I20170728002910
Address ID
NE691533321OG1610XSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

841 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NE

Provider Addresses for JACOB NO KRINGLE (DPT)

  • 523 10th St

    Gothenburg, NE 691381925

    Phone: (308) 537-3600

    Fax: (308) 537-3601

    Type: Location

  • 307 S Grand Ave

    Callaway, NE 68825

    Phone: (308) 836-2288

    Fax: (308) 836-2288

    Type: Location

  • PO Box 435

    Broken Bow, NE 688220435

    Phone: (308) 872-5111

    Fax: (308) 872-5115

    Type: Location

  • PO Box 846

    Burwell, NE 688230846

    Phone: (308) 346-5111

    Fax: (308) 346-5111

    Type: Location

  • 325, South 1st Avenue, Broken Bow, Custer County, Nebraska, 68822, United States

    BROKEN BOW, NE 688222213

    Phone: (308) 872-5111

    Fax: (308) 872-5115

    Type: Mailing

  • Central Avenue, Kearney, Buffalo County, Nebraska, 68847, United States

    KEARNEY, NE 688478173

    Phone: (308) 237-0591

    Fax: (308) 237-4251

    Type: Location

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: 2025-05-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170728002910IPhysical Therapist In Private PracticeNETBD
I20250507002531IPhysical Therapist In Private PracticeTXTBD

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
97116Therapy procedure for walking training, each 15 minutes58719$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes47319$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes44418$0
97530Therapy procedure using functional activities14016$0
97161Evaluation for physical therapy, typically 20 minutes2115$0
View full utilization report →

Insurance plans in this area (ZIP 69138)

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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: 9638086432View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeKS
Qualified Speech Language PathologistKS
-KS
Physical Therapist In Private PracticeMO
-TN
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
-KS
Qualified Speech Language PathologistAR
Qualified Speech Language PathologistMO

Reviews

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Frequently asked questions

What is the registry number for JACOB NO KRINGLE (DPT)?
The registry entry for JACOB NO KRINGLE (DPT) shows NPI 1205366879.
Should I treat JACOB NO KRINGLE (DPT) as an active provider?
Patients and plans typically see JACOB NO KRINGLE (DPT) as active in the national extract.
What does the directory say JACOB NO KRINGLE (DPT) does?
Insurance directories may phrase it differently, but here JACOB NO KRINGLE (DPT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JACOB NO KRINGLE (DPT)?
JACOB NO KRINGLE (DPT) is associated with Gothenburg, Nebraska in the same public data insurers reference.
Who maintains JACOB NO KRINGLE (DPT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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