Jeb Kincannon, DPT
NPI 1831964980ActiveIndividual· Physical Therapist, Orthopedic· Palatka, FL
Physical Therapist, Orthopedic (DPT) with Concierge Physio LLC and 1 other group, practicing in Palatka, Florida. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1831964980 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Nov 20, 2023 |
| Last updated in NPPES | Nov 20, 2023 |
| Certified by provider | Nov 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Orthopedic Primary | 2251X0800X | — | — |
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 - Physical Therapist in Private Practice (FL) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Concierge Physio LLCJacksonville Beach, FL · 16 clinicians
- Revision Health Services PLLCJacksonville, FL · 2 clinicians
Other orthopedic physical therapists in Palatka
- 1629454806