JONATHAN JETT TATE (PT) – Physical Therapist, NPI 1578896908

JONATHAN JETT TATE (PT) is a healthcare provider. based in Longview, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 1191436 (TX). The NPI Number for JONATHAN JETT TATE (PT) is 1578896908

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN JETT TATE (PT)
NPI
1578896908
Phone
(903) 753-6635
Address
3202 4TH ST STE 101
Enumeration Date
17 September 2009
Last Update Date
11 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9038068461
Graduation Year
2009 (17 years ago)
PAC ID
4981864758
Group Practice PAC ID
1153739776
Professional Enrollment ID
I20120402000507
Address ID
TX756051073LO5848XRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for JONATHAN JETT TATE (PT)

  • 3202 4TH ST STE 101

    LONGVIEW, TX 75605

    Phone: (903) 753-6635

    Type: Location

  • 4002, Technology Center, Lost Creek Business Park, Longview, Gregg County, Texas, 75605, United States

    LONGVIEW, TX 756052697

    Phone: (903) 247-0484

    Fax: (903) 247-0485

    Type: Mailing

  • 107 CHINQUAPIN CT

    HALLSVILLE, TX 756506224

    Phone: (806) 470-5904

    Type: Mailing

  • 5804 JUDSON RD STE 201

    LONGVIEW, TX 756051073

    Phone: (806) 470-5904

    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: 2012-04-02

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
I20120402000507IPhysical Therapist In Private PracticeTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,79192$0
97140Therapy procedure using manual technique, each 15 minutes48173$0
97150Therapy procedure in a group setting12451$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes6113$0
97161Evaluation for physical therapy, typically 20 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 75605)

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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: 1153739776View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

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Frequently asked questions

What is the standard ID for JONATHAN JETT TATE (PT) in the U.S.?
In the U.S., JONATHAN JETT TATE (PT) is identified by NPI 1578896908.
Is JONATHAN JETT TATE (PT)'s NPI status active today?
Active status means JONATHAN JETT TATE (PT)'s NPI record is not deactivated in the public file.
What services align with JONATHAN JETT TATE (PT)'s listing?
JONATHAN JETT TATE (PT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Is JONATHAN JETT TATE (PT) tied to Longview, Texas?
If you are local to Longview, Texas, JONATHAN JETT TATE (PT) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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