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

Mr. Jesse Chase Reagan, PT

Individual provider Physical Therapist · NPI 1366172462

Mr. Jesse Chase Reagan, PT is a Physical Therapist in Private Practice in Carrollton, Georgia. Qualified in 2021, 5 years ago. Practices with Carrollton Orthopaedic Clinic PC, a 33-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2022
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1124 N Park St Ste M
Carrollton, GA 30117-2282
Phone: (770) 834-0873
Fax: (770) 834-6118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 812 S Park St, Carrollton, GA 30117-4412 — (770) 834-7436

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT015961 (GA)

Record details

NPI number1366172462
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 13, 2022
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025

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 Carrollton Orthopaedic Clinic Pc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Carrollton