Jacob John Kmiecik, DPT - Medicare Physical Therapist in Seattle, WA

Jacob John Kmiecik, DPT is a medicare enrolled "Physical Therapist" provider in Seattle, Washington. He went to Creighton University School Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Emerald City Physical Therapy Svcs Llc and his current practice location is 1218 3rd Ave Ste 104, Seattle, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 447-2220.

Jacob John Kmiecik is licensed to practice in Washington (license number PT60852959) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578043089.

Contact Information

Jacob John Kmiecik, DPT
1218 3rd Ave Ste 104,
Seattle, WA 98101-3008
(206) 447-2220
(206) 447-2228

Map and Direction




Healthcare Provider's Profile

Full NameJacob John Kmiecik
GenderMale
SpecialityPhysical Therapy
Experience6 Years
Location1218 3rd Ave Ste 104, Seattle, Washington
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacob John Kmiecik attended and graduated from Creighton University School Of Medicine in 2018
  NPI Data:
  • NPI Number: 1578043089
  • Provider Enumeration Date: 08/15/2018
  • Last Update Date: 08/15/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7416208764
  • Enrollment ID: I20180925003363

Medical Identifiers

Medical identifiers for Jacob John Kmiecik such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578043089NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT60852959 (Washington)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emerald City Physical Therapy Svcs Llc054744246915

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacob John Kmiecik allows following entities to bill medicare on his behalf.
Provider NameTherapeutic Associates Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1497731244
PECOS PAC ID: 0042116279
Enrollment ID: O20040126000117
Provider NameCore Physical Therapy Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1356411011
PECOS PAC ID: 0840287249
Enrollment ID: O20040428000334
Provider NameEmerald City Physical Therapy Svcs Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1881998482
PECOS PAC ID: 0547442469
Enrollment ID: O20110314000314

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob John Kmiecik is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacob John Kmiecik, DPT
5450 Leary Ave Nw Apt 643,
Seattle, WA 98107-4081

Ph: (402) 350-3146
Jacob John Kmiecik, DPT
1218 3rd Ave Ste 104,
Seattle, WA 98101-3008

Ph: (206) 447-2220

Reviews and Comments


Physical Therapist in Seattle, WA

Mrs. Carol Grant, PT
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Phone: 206-781-7436    Fax: 206-781-7414
Julia J Visser, DPT
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Practice Location: 325 9th Ave, Box 359920, Seattle, WA 98104
Phone: 206-744-1675    Fax: 206-744-1664
Amelia V. Rivera,
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Phone: 206-774-3300    
Lori L. Kirsten, PT
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Medicare: Accepting Medicare Assignments
Practice Location: 1200 12th Ave S, Seattle, WA 98144
Phone: 206-326-2400    
Nicole Siegel Bulow, PT, DPT, CFMT, ATC
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Practice Location: 4839 S Brandon St, Seattle, WA 98118
Phone: 415-264-0191    
Benjamin Tappen Kern, DPT
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Medicare: Accepting Medicare Assignments
Practice Location: 1107 Ne 45th St Ste 100, Seattle, WA 98105
Phone: 206-545-7844    Fax: 206-545-7843
Sean Michael Strosnider, PT
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Medicare: Accepting Medicare Assignments
Practice Location: 2611 Ne 125th St Ste 140, Seattle, WA 98125
Phone: 206-361-4745    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.