Active NPI
Jordan Gaillard Kareis, PT, DPT, CERT. DN
- Physical Therapist
- Roswell, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT013789
- Practice address
- 114 Courtyard Ter
Roswell, GA 30075-4569 - Phone
- (770) 375-0775
- NPI assigned
- Nov 8, 2018
- Last updated
- Oct 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | ||
| Physical Therapist | 225100000X | PT013789 | GA | Primary |
Addresses
Primary practice location
114 Courtyard Ter
Roswell, GA 30075-4569
Mailing address
114 Courtyard Ter
Roswell, GA 30075-4569
Phone (770) 375-0775
Other practice location 1
3333 Old Milton Pkwy Ste 180
Alpharetta, GA 30005-0008
Phone (678) 856-1700
Other practice location 2
11680 Great Oaks Way Ste 330
Alpharetta, GA 30022-2457
Phone (678) 856-1700
Other practice location 3
575 Professional Dr Ste 370
Lawrenceville, GA 30046-3334
Phone (678) 205-5420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21 Ortho LN
Atlanta, GA 30329-2315
Phone (404) 778-3350
260 Peachtree St NW
Suite 2200
Atlanta, GA 30303-1292
Phone (866) 525-3175
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.85 of 100
- Quality
- 85.59
- Improvement activities
- 40
- Cost
- 69.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT013789 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Emory Physical Therapy, LLC | Current | Accepting new patients | |
| Kareis Physical Therapy, LLC | Current | Accepting new patients | |
| Emory Physical Therapy, LLC | Current | Accepting new patients | |
| Emory Physical Therapy, LLC | Current | Accepting new patients |
Locations
21 Ortho Ln
Atlanta, GA 30329
Phone (404) 778-2516
260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870
1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490
Organizations & group practices 5
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.
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1922018423
-
- Physical Therapist
- Atlanta, GA
- NPI 1245826999
-
- Physical Therapy Clinic/Center
- Roswell, GA
- NPI 1629850227
-
- Physical Therapy Clinic/Center
- Lithonia, GA
- NPI 1346119831
-
- Physical Therapy Clinic/Center
- Brookhaven, GA
- NPI 1720097561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1720556624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 COURTYARD TER",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300754569",
"telephone_number": "770-375-0775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 COURTYARD TER",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300754569",
"telephone_number": "770-375-0775"
}
],
"practiceLocations": [
{
"address_1": "3333 Old Milton Pkwy Ste 180",
"address_purpose": "LOCATION",
"city": "Alpharetta",
"state": "GA",
"postal_code": "300050008",
"country_code": "US",
"telephone_number": "678-856-1700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11680 Great Oaks Way Ste 330",
"address_purpose": "LOCATION",
"city": "Alpharetta",
"state": "GA",
"postal_code": "300222457",
"country_code": "US",
"telephone_number": "678-856-1700",
"fax_number": "678-856-1700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "575 Professional Dr Ste 370",
"address_purpose": "LOCATION",
"city": "Lawrenceville",
"state": "GA",
"postal_code": "300463334",
"country_code": "US",
"telephone_number": "678-205-5420",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAREIS",
"first_name": "JORDAN",
"middle_name": "GAILLARD",
"credential": "PT, DPT, CERT. DN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-08",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT013789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.