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

Kadarius Jack, DPT

Individual provider Physical Therapist · NPI 1578298022

Kadarius Jack, DPT is a 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.

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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
Mailing address13690 Highway 51 S Ste 104, Atoka, TN 38004-7645

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

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