JAKE PELJOVICH PT, DPT
NPI 1609761295
Physical Therapist in Decatur, GA

Active since June 12, 2025Accepts Medicare Assignment
4110 MEMORIAL DR STE B, DECATUR, GA 30032(770) 273-7990(770) 273-7991 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2025, Jun 12, 2025 (2 updates tracked since 2025).

About Jake Peljovich Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAKE PELJOVICH PT, DPT (NPI 1609761295) is an individual physical therapist in Decatur, Georgia, licensed in Georgia (PT017769) and active in the NPI registry since June 2025. He is a graduate of Mercer University School Of Medicine (2025).

NPPES Registry Identity

NPI1609761295
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJAKE PELJOVICHCredential: PT, DPT
Location Address4110 MEMORIAL DR STE BDecatur, GA 30032-1803
Mailing Address33900 Harper Ave Ste 104Clinton Twp, MI 48035-4258
Fax(770) 273-7991
Sole ProprietorYes
Medical School CMSMercer University School Of MedicineGraduated 2025
Enumeration DateJune 12, 2025
Last NPPES UpdateJune 23, 20252 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
NPI 1609761295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in GA · PT017769
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
4110 MEMORIAL DR STE B, Decatur, GA 30032

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jake Peljovich Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244738052
PECOS Enrollment IDI20250811004093

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
4110 MEMORIAL DR STE B
DECATUR, GA 30032
Physical Therapist
4110 MEMORIAL DR STE B
DECATUR, GA 30032
Physical Therapist
4110 MEMORIAL DR STE B
DECATUR, GA 30032
Physical Therapist
4110 MEMORIAL DR STE B
DECATUR, GA 30032
Physical Therapist
4110 MEMORIAL DR STE B
DECATUR, GA 30032
Physical Therapist
4110 MEMORIAL DR STE B
DECATUR, GA 30032
Physical Therapist
4110 MEMORIAL DR STE B
DECATUR, GA 30032
Physical Therapist
4110 MEMORIAL DR STE B
DECATUR, GA 30032

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jake Peljovich's NPI number?

The NPI number for Jake Peljovich is 1609761295. It was assigned to this individual provider in the NPPES registry on June 12, 2025.

Where is Jake Peljovich located?

Jake Peljovich practices at 4110 Memorial Dr Ste B, Decatur, GA 30032. The listed phone number is (770) 273-7990.

What is Jake Peljovich's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jake Peljovich enrolled in Medicare?

Yes. Jake Peljovich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jake Peljovich was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.