Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kadarius Jack, DPT

Individual provider Physical Therapist · NPI 1578298022

Kadarius Jack, DPT is registered under Physical Therapist in Private Practice in Atoka, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 2022, 4 years ago. Practices with Pittman Physical Therapy LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
4
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
TN
In the registry since
2022
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

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Practice location Address checks out

13690 Highway 51 S Ste 104
Atoka, TN 38004-7645
Phone: (901) 259-4254
Fax: (901) 725-8353
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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 16552 (TN)

Record details

NPI number1578298022
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 19, 2022
Last updated in NPPESJune 14, 2025
Certification dateJune 14, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Pittman Physical Therapy Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients13
Services billed 160 a service is one billed item, such as a visit, a test or a procedure
Average patient age69

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Pittman Physical Therapy LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Atoka