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

Jerry Kohout Jr.

Individual provider Physical Therapist · NPI 1992474894

Jerry Kohout Jr. is a Physical Therapist in Private Practice in Leland, North Carolina. Qualified in 2021, 5 years ago. Practices with Activcare Physical Therapy, LLC, a 127-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and Pennsylvania.

Years since qualifying
5
Licensed in
NC, PA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

2024 Olde Regent Way Ste 130
Leland, NC 28451-4250
Phone: (910) 302-3330
Fax: (910) 213-3575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 290 E Pomfret St, Carlisle, PA 17013-2579 — (717) 245-0400

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P22811 (NC)
Physical Therapist Taxonomy 225100000X · Licence PT029822 (PA)

Record details

NPI number1992474894
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 13, 2021
Last updated in NPPESJanuary 19, 2024
Certification dateJanuary 19, 2024
Mailing address350 New Fidelity Ct, Garner, NC 27529-2665

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Activcare Physical Therapy, Llc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Leland