Skip to content

Kristina A. Jaeckel, PT

NPI 1821228842ActiveIndividual· Physical Therapist· Worcester, MA

Physical Therapist (PT) with Greendale Physical Therapy LLC, practicing in Worcester, Massachusetts. Medicare paid $3,130 for services to 17 patients in 2024.

Overview

NPI1821228842
StatusActive
Entity typeIndividual
CredentialPT
Sole proprietorNo
NPI issuedJul 24, 2009
Last updated in NPPESAug 12, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X13405MA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (MA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients17
Services billed130 across 1 procedure code
Paid by Medicare$3,130

Medicare sources and data years

Education and affiliations

Graduation year1999
Medicare specialtyPhysical Therapist In Private Practice

Medical group

Source: CMS Care Compare

Other physical therapists in Worcester

All 241 physical therapists in Worcester · All physical therapists in Massachusetts