Active NPI
Jeremy Shook, PT
- Physical Therapist
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT0000006581
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3727276 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, GA
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| CP055178T | GA | MD | Physical Therapist |
| PT0000006581 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Rehabilitation and Sports | Physical Therapist | Current | Accepting new patients |
| Excel Rehabilitation and Sports | Physical Therapist | Current | 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.
-
- Physical Therapist
- Greenville, SC
- NPI 1952272379
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.