JEB KINCANNON DPT
NPI 1831964980
Physical Therapist - Orthopedic in Palatka, FL

Active since November 20, 2023Accepts Medicare Assignment
6500 CRILL AVE BLDG 3, PALATKA, FL 32177(386) 325-1119 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jeb Kincannon Dpt NPPES

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

JEB KINCANNON DPT (NPI 1831964980) is an individual orthopedic provider in Palatka, Florida and active in the NPI registry since November 2023. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1831964980
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameJEB KINCANNONCredential: DPT
Location Address6500 CRILL AVE BLDG 3Palatka, FL 32177-9231
Mailing AddressPo Box 1473St Augustine, FL 32085-1473
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 20, 2023
NPPES CertifiedNovember 19, 2023
NPI 1831964980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

6500 CRILL AVE BLDG 3, Palatka, FL 32177

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jeb Kincannon Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062921869
PECOS Enrollment IDI20250603002721

Other Providers at the Same Location NPPES 2

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

Physical Therapist
6500 CRILL AVE BLDG 3
PALATKA, FL 32177
Physical Therapist
6500 CRILL AVE BLDG 3
PALATKA, FL 32177

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 Jeb Kincannon's NPI number?

The NPI number for Jeb Kincannon is 1831964980. It was assigned to this individual provider in the NPPES registry on November 20, 2023.

Where is Jeb Kincannon located?

Jeb Kincannon practices at 6500 Crill Ave Bldg 3, Palatka, FL 32177. The listed phone number is (386) 325-1119.

What is Jeb Kincannon's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Jeb Kincannon enrolled in Medicare?

Yes. Jeb Kincannon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jeb Kincannon accept?

Health plans from Ambetter Health, Ambetter of Alabama, Molina Healthcare and Wellpoint list Jeb Kincannon 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 Jeb Kincannon was last updated on November 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.