DR. JACQUELINE GRACE KETTLER OTR/L
NPI 1003684119
Occupational Therapist in Saint Augustine, FL

Active since December 18, 2023
150 VILLAGE CROSSING CT, SAINT AUGUSTINE, FL 32084(502) 694-5241 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jacqueline Grace Kettler Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACQUELINE GRACE KETTLER OTR/L (NPI 1003684119) is an individual occupational therapist in Saint Augustine, Florida, licensed in Florida (23228) and active in the NPI registry since December 2023. She maintains a secondary practice location in Palm Coast.

NPPES Registry Identity

NPI1003684119
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameDR. JACQUELINE GRACE KETTLERCredential: OTR/L
Location Address150 VILLAGE CROSSING CTSaint Augustine, FL 32084-8697
Mailing Address2121 Golden Lake LoopSaint Augustine, FL 32084-5899 · (417) 385-7650
Sole ProprietorNo
Enumeration DateDecember 18, 2023
NPPES CertifiedDecember 18, 2023
✔ NPI 1003684119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in FL · 23228
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
150 VILLAGE CROSSING CT, Saint Augustine, FL 32084

Other Names 1

Former Name (1)Dr. Jacqueline Grace Engelbrecht Otr/l

Secondary Practice Location 1

Location 1144 Cypress Point PkwyPalm Coast, FL 32164-7412 · Phone (386) 247-0967

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacqueline Grace Kettler Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Jacqueline Kettler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rehabilitation
3270 TAMAYA BLVD
Jacksonville, FL 32246
  • Reassigned Medicare billing, Florida enrollment
  • 60 clinicians in this Medicare group
Rehabilitation
6280 CENTRAL AVE STE H2
St Petersburg, FL 33707
  • Reassigned Medicare billing, Florida enrollment
  • 61 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatric Hospital
150 VILLAGE CROSSING CT
ST AUGUSTINE, FL 32084

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Kettler's NPI number?

The NPI number for Jacqueline Kettler is 1003684119. It was assigned to this individual provider in the NPPES registry on December 18, 2023. The provider is also known as Dr. Jacqueline Grace Engelbrecht Otr/L.

Where is Jacqueline Kettler located?

Jacqueline Kettler practices at 150 Village Crossing Ct, Saint Augustine, FL 32084. The listed phone number is (502) 694-5241.

What is Jacqueline Kettler's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Jacqueline Kettler enrolled in Medicare?

Yes. Jacqueline Kettler is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jacqueline Kettler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Kettler reassigns Medicare benefits to 2 organizations: Burke Collins Therapy, Inc (Jacksonville, FL) and H2 Rehabilitation Services Of Florida LLC (St Petersburg, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Kettler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Kettler accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Jacqueline Kettler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacqueline Kettler was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.