Active NPI
Jared Patrick Reites, DPT, ATC
- Physical Therapist
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012171
- Practice address
- 1083 Parkway Blvd
Athens, GA 30606-6171 - Phone
- (706) 208-6500
- NPI assigned
- Jul 7, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT26462 | FL | |
| Physical Therapist | 225100000X | PT012171 | GA | Primary |
Addresses
Primary practice location
1083 Parkway Blvd
Athens, GA 30606-6171
Mailing address
1161 Copperville Dr
Watkinsville, GA 30677-4136
Phone (813) 323-1820
Other practice location 1
1161 Copperville Dr
Watkinsville, GA 30677-4136
Phone (813) 323-1820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231212002815 | GA | Practitioner - Physical Therapist in Private Practice | 0143606269 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT26462 | FL | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services, Inc | Physical Therapist | Current | Accepting new patients |
| Human Performance and Rehabilitation Centers, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
2219 Chiquita Blvd S
Cape Coral, FL 33991
Phone (239) 205-3654
8213 Killearn Lakes Ter
Tallahassee, FL 32312
Phone (850) 391-0979
38130 Pretty Pond Rd
Zephyrhills, FL 33540
Phone (813) 400-2291
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
-
- Physical Therapist
- Tampa, FL
- NPI 1336535988
-
- Occupational Therapist
- Columbia, SC
- NPI 1417029513
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1912294232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1161 COPPERVILLE DR",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306774136",
"telephone_number": "813-323-1820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1083 PARKWAY BLVD",
"city": "ATHENS",
"state": "GA",
"postal_code": "306066171",
"telephone_number": "706-208-6500"
}
],
"practiceLocations": [
{
"address_1": "1161 Copperville Dr",
"address_purpose": "LOCATION",
"city": "Watkinsville",
"state": "GA",
"postal_code": "306774136",
"country_code": "US",
"telephone_number": "813-323-1820",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REITES",
"first_name": "JARED",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "DPT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-07",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "FL",
"license": "PT26462",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT012171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.