Kadarius Jack, DPT
NPI 1578298022ActiveIndividual· Physical Therapist· Atoka, TN
Physical Therapist (DPT) in Atoka, Tennessee, trained at University of Tennessee, Hsc, College of Medicine (class of 2022). Medicare paid $2,937 for services to 13 patients in 2024.
Overview
| NPI | 1578298022 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Jul 19, 2022 |
| Last updated in NPPES | Jun 14, 2025 |
| Certified by provider | Jun 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 16552 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 160 across 6 procedure codes |
| Paid by Medicare | $2,937 |
Education and affiliations
| Medical school | University of Tennessee, Hsc, College of Medicine |
|---|---|
| Graduation year | 2022 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Pittman Physical Therapy LLCCollierville, TN · 10 clinicians
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