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

Jeremy Jason Stojakovich, PT, DPT

Individual provider Physical Therapist · NPI 1487135281

Jeremy Jason Stojakovich, PT, DPT is a Physical Therapist in Private Practice in Antioch, Tennessee. Qualified in 2018, 8 years ago. Practices with Privia Medical Group Tennessee LLC, a 145-clinician group and accepts Medicare assignment. Licensed in Tennessee and Washington.

Years since qualifying
8
Licensed in
TN, WA
In the registry since
2018
Specialties on file
2
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

5380 Hickory Hollow Pkwy Ste 201
Antioch, TN 37013-3389
Phone: (615) 891-2070
Fax: (615) 891-2056
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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 12537 (TN)
Physical Therapist Taxonomy 225100000X · Licence PT60863095 (WA)

Record details

NPI number1487135281
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 28, 2018
Last updated in NPPESMay 28, 2020
Certification dateMay 28, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Privia Medical Group Tennessee Llc — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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