Jeremy Jason Stojakovich, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12537 Issued in TN

Practice address

5380 Hickory Hollow Pkwy Ste 201
Antioch, TN 37013-3389

Phone

(615) 891-2070

Fax

(615) 891-2056

NPI assigned

Aug 28, 2018

Last updated

May 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Privia Medical Group Tennessee LLCGroup PAC ID 0547667552, 141 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeremy.stojakovich.1@25094.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Privia Medical Group Tennessee LLC

  • Family Medicine Physician
  • Nashville, TN
  • NPI 1376110858
  Medicare reassignment Care Compare group NPD
• Seven Springs Orthopaedics, PC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Brentwood, TN
  • NPI 1194210005

  Physical Therapist

  Medicare reassignment NPD
• Privia Medical Group Tennessee LLC

  dba Sports Ortho Urgent Care

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Nashville, TN
  • NPI 1215694229
  NPD
• Seven Springs Orthopaedics, PC

  • Orthopaedic Surgery Physician
  • Hendersonville, TN
  • NPI 1972267326

  Physical Therapist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1487135281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 GRANADA AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372063427",
            "telephone_number": "253-831-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 HICKORY HOLLOW PKWY STE 201",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370133389",
            "telephone_number": "615-891-2070",
            "fax_number": "615-891-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOJAKOVICH",
        "first_name": "JEREMY",
        "middle_name": "JASON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60863095",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spectrum Home Health Care
• Spectrum Home Health Care
• Stattee Medical Transpoprtation Inc (State Medical Transportation inc)
• Angela Marie Stayton
• Karissa Stelmach, O.D.
• Kellee Stone, DDS
• Shaquila Stoutt
• Frasheta Stuart, LPN
• Sulliman Transportation
• Alyse Marie Sullivan, NP

• Physical Therapist in Antioch, TN
• Providers in Antioch, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.