Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Jacob Kelley Frederick, DPT
Physical Therapist in O Fallon, MO · enumerated 2025.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1124811393
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Registry record
Entity type Individual (Type 1)
Name Dr. Jacob Kelley Frederick
Credential DPT
Sex Male
Practice address 3074 Winghaven Blvd, O Fallon, MO, 63368
Phone (636) 265-4100
Enumeration date May 28, 2025
Last updated in NPPES May 28, 2025
Taxonomy & licenses
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 2025017762 (MO) Primary
DPT · Doctor of Physical Therapy: A physical therapist holding the clinical doctorate now standard for the profession.
About the DPT credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Where does Jacob Frederick practice?
The practice location on file with NPPES is in O Fallon, MO. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jacob Frederick?
The National Provider Identifier (NPI) for Jacob Frederick is 1124811393, a Type 1 (individual) record in the CMS NPPES registry.
Other providers at this practice address
Browse all → Washeck Manual Therapy LLC Physical Therapy Clinic/Center · O'Fallon, MO NPI 1528507472 Elite Physical Therapy of Ofallon, LLC Rehabilitation Clinic/Center · O Fallon, MO NPI 1326578626 Kaley Maag Physical Therapist · O Fallon, MO NPI 1174195861 Austin Bucher Physical Therapist · O Fallon, MO NPI 1942088554
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-28.