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

Jacob Kostelec, PT, DPT

Individual provider Physical Therapist · NPI 1558045062

Jacob Kostelec, PT, DPT is a Physical Therapist in Private Practice in Gainesville, Georgia. Graduated from Philadelphia College of Osteopathic Medicine in 2023, 3 years ago. Practices with Atlanta Rehabilitation and Performance Center, a 96-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
GA
In the registry since
2023
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1640 Jesse Jewell Pkwy NE
Gainesville, GA 30501-2561
Phone: (770) 536-9300
Fax: (770) 536-9389
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT016615 (GA)

Record details

NPI number1558045062
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJune 14, 2023
Last updated in NPPESJune 14, 2023
Certification dateJune 14, 2023
Mailing address2400 Wisteria Dr Ste A, Snellville, GA 30078-2689

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2023 (3 years in practice)
Group practice Atlanta Rehabilitation And Performance Center — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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