Jacqueline Grace Kettler, OTR/L
NPI 1003684119ActiveIndividual· Occupational Therapist· Saint Augustine, FL
Occupational Therapist (OTR/L) in Saint Augustine, Florida, licensed in FL, with an NPI issued in December 2023. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1003684119 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTR/L |
| Sole proprietor | No |
| NPI issued | Dec 18, 2023 |
| Last updated in NPPES | Dec 18, 2023 |
| Certified by provider | Dec 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 23228 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (FL) |
|---|
Other occupational therapists in Saint Augustine
- 1073399283
- 1114506516
- 1396664595
- 1467208868
- 1487644373
- 1265683536
- 1295329571
- 1659293330
- 1548633498
- 1205026986
- 1245418276
- 1881148757
All 30 occupational therapists in Saint Augustine · All occupational therapists in Florida