Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anthony Jacaruso

Individual provider Physical Therapist · NPI 1124394770

Anthony Jacaruso is a Physical Therapist in Private Practice in Gray, Tennessee. Qualified in 1997, 29 years ago. Practices with Achieve Health and Wellness, a 5-clinician group and accepts Medicare assignment. Licensed in New York and Tennessee.

Years since qualifying
29
Licensed in
NY, TN
In the registry since
2012
Specialties on file
2

Practice location Address checks out

406 Roy Martin Rd Ste 9
Gray, TN 37615-2245
Phone: (423) 477-1101
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 14601 (TN)
Physical Therapist Taxonomy 225100000X · Licence 018884-1 (NY)

Record details

NPI number1124394770
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 28, 2012
Last updated in NPPESMarch 13, 2024
Certification dateMarch 13, 2024
Mailing address296 Jessicas Way, Johnson City, TN 37615-3079

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Achieve Health And Wellness — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gray