Individual provider Active NPI

Amy Kafati

  • Physical Therapist
  • Woodstock, GA
National Provider Identifier
1013026731
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1432 Towne Lake Pkwy
Ste 120
Woodstock, GA 30189-8263
Phone
(678) 445-9799
Fax
(678) 445-2688
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1432 Towne Lake Pkwy
Ste 120
Woodstock, GA 30189-8263

Mailing address

4318 Arbor Landing Dr
Marietta, GA 30066-2250
Phone (678) 494-3133

Other identifiers 1

IdentifierTypeStateIssuer
PT007252OtherGALICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091125000076 GA Practitioner - Physical Therapist in Private Practice 8426197856 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Physical Therapy Physical Therapist CurrentSince Apr 1, 2023 Accepting new patients
Physiotherapy Associates Inc CurrentSince Oct 1, 2024 Accepting new patients
Physiotherapy Associates Inc CurrentSince Oct 1, 2024 Accepting new patients
Kennestone Hospital, Inc Past Accepting new patients

Locations

3425 Old Highway 41
Ste 620
Kennesaw, GA 30144
Phone (404) 666-2048

390 Ernest W Barrett Pkwy NW
Ste 4
Kennesaw, GA 30144
Phone (770) 426-9945

966A Killian Hill Rd SW
Lilburn, GA 30047
Phone (770) 923-4815

Organizations & group practices 4

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1013026731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 ARBOR LANDING DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662250",
            "telephone_number": "678-494-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 TOWNE LAKE PKWY",
            "address_2": "STE 120",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301898263",
            "telephone_number": "678-445-9799",
            "fax_number": "678-445-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAFATI",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "PT007252",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.