AVA JAKEL (PT, DPT) – Physical Therapist, NPI 1740162502

AVA JAKEL (PT, DPT) is a healthcare provider. based in Clermont, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT017784 (GA). The NPI Number for AVA JAKEL (PT, DPT) is 1740162502

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
AVA JAKEL (PT, DPT)
NPI
1740162502
Phone
(678) 897-3209
Address
111 IVEY ST
Enumeration Date
23 July 2025
Last Update Date
23 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6783352080
Graduation Year
2025 (1 year ago)
PAC ID
0143717322
Group Practice PAC ID
7618341454
Professional Enrollment ID
I20251013001171
Address ID
GA300923495PE4941XRDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

2,871 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for AVA JAKEL (PT, DPT)

  • 111 IVEY ST

    CLERMONT, GA 305271769

    Phone: (678) 897-3209

    Type: Mailing

  • 4941 S OLD PEACHTREE RD STE D

    PEACHTREE CORNERS, GA 300923495

    Phone: (678) 335-2080

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251013001171IPhysical Therapist In Private PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30527)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618341454View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for AVA JAKEL (PT, DPT)?
AVA JAKEL (PT, DPT) — NPI 1740162502 — is the standard way to identify this listing.
Is AVA JAKEL (PT, DPT) listed as active for patients and plans?
The listing shows AVA JAKEL (PT, DPT) as active in the NPI system.
What is AVA JAKEL (PT, DPT)'s specialty?
The listing groups AVA JAKEL (PT, DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What area does AVA JAKEL (PT, DPT) serve?
AVA JAKEL (PT, DPT)'s listing highlights Clermont, Georgia; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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