Individual provider Active NPI

Jeremy Shook, PT

  • Physical Therapist
  • Chattanooga, TN
National Provider Identifier
1922278431
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0000006581 Issued in TN
Practice address
313 Manufacturers Rd Ste C215
Chattanooga, TN 37405-3274
Phone
(423) 254-5461
Fax
(800) 385-7439
NPI assigned
Mar 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP055178T GA
Physical Therapist 225100000X PT0000006581 TN Primary

Addresses

Primary practice location

313 Manufacturers Rd Ste C215
Chattanooga, TN 37405-3274

Mailing address

501 Forest LN Ste a
Clemson, SC 29631-2621
Phone (864) 722-0335

Other practice location 1

2001 Mallory Ln
Suite 201
Franklin, TN 37067-8233
Phone (615) 373-1350

Other practice location 2

3460 Battlefield Pkwy
Fort Oglethorpe, GA 30742-4007
Phone (706) 719-2253

Other identifiers 1

IdentifierTypeStateIssuer
3727276MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080422000825 TN Practitioner - Physical Therapist in Private Practice 9537247101 Reassigns benefits to 1 organization
I20120321000182 GA Practitioner - Physical Therapist in Private Practice 9537247101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Rehabilitation and SportsGroup PAC ID 1759481559, 53 clinicians

Practice addresses (Care Compare)

313 Manufacturers Rd
Suite C215
Chattanooga, TN 37405-3274
Phone (423) 254-5461

3460 Battlefield Pkwy
Fort Oglethorpe, GA 30742-4007
Phone (706) 719-2253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP055178TGAMDPhysical Therapist
PT0000006581TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Rehabilitation and Sports Physical Therapist CurrentSince Oct 23, 2017 Accepting new patients
Excel Rehabilitation and Sports Physical Therapist CurrentSince Oct 23, 2017 Accepting new patients

Locations

3460 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (706) 719-2253

501 Forest Ln
Ste A
Clemson, SC 29631
Phone (864) 654-2001

2158 Northgate Park Ln
Ste 200
Chattanooga, TN 37415
Phone (423) 254-5461

313 Manufacturers Rd
Ste C215
Chattanooga, TN 37405
Phone (423) 254-5461

7443 Commons Blvd
Ste 112
Chattanooga, TN 37421
Phone (423) 254-5461

1700 Broad St
Ste 120
Chattanooga, TN 37408
Phone (423) 254-5461

862 Callen Ln NW
Ste 100
Cleveland, TN 37312
Phone (423) 254-5461

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1922278431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 FOREST LN STE A",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312621",
            "telephone_number": "864-722-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 MANUFACTURERS RD STE C215",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374053274",
            "telephone_number": "423-254-5461",
            "fax_number": "800-385-7439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Mallory Ln",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370678233",
            "country_code": "US",
            "telephone_number": "615-373-1350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3460 Battlefield Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fort Oglethorpe",
            "state": "GA",
            "postal_code": "307424007",
            "country_code": "US",
            "telephone_number": "706-719-2253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOOK",
        "first_name": "JEREMY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP055178T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000006581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3727276",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.