Doctor profile · Federal record
Dr. Kadarius Jack, DPT
Physical Therapist (CMS: Physical Therapist in Private Practice) · Atoka, TN
- NPI 1578298022
- Accepts Medicare
- 4 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
13690 Highway 51 S Ste 104
Atoka, TN 380047645
(901) 259-4254
fax (901) 725-8353
Credentials & registration
- NPI registered
- July 2022 — 4 yrs on file
- Profile last updated
- June 14, 2025
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 225100000X — NUCC code
- State license (1)
- Tennessee #16552
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1578298022. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
195
Distinct HCPCS
3
Medicare allowed
$4,820
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 74 | 15 | $20 | |
97112 |
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 71 | 17 | $26 | |
97530 |
Therapy procedure using functional activities | 50 | 15 | $30 |
In context: peer comparison
Among 2 peers in Atoka Physical Therapist, average services per provider: 122. This provider delivers 1.6× the peer median.Frequently asked questions
What is Dr. Kadarius Jack's medical specialty?
Dr. Kadarius Jack practices Physical Therapist in Atoka, TN.
Where does Dr. Kadarius Jack practice?
Dr. Kadarius Jack practices at 13690 Highway 51 S Ste 104, Atoka, TN 380047645. Office phone: 9012594254.
What is Dr. Kadarius Jack's NPI?
Dr. Kadarius Jack's National Provider Identifier (NPI) is 1578298022, issued by NPPES.
Does Dr. Kadarius Jack accept Medicare assignment?
Yes. Dr. Kadarius Jack accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kadarius Jack commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure to re-educate brain-to-nerve-to-muscle function (HCPCS 97112); Therapy procedure using functional activities (HCPCS 97530). Source: CMS Medicare Physician & Other Practitioners file.