Search › Missouri › 225100000X
Jacob Frederick, DPT
NPI 1124811393 · on the registry since 2025
Practice
- Address
- 3074 Winghaven Blvd
O Fallon, MO 63368 - Phone
- (636) 265-4100
- Organisation at this address
- Elite Physical Therapy Of Ofallon, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri