Kayla Miller Duddleston, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10960R Issued in LA

Practice address

11490 Alpharetta Hwy Ste 200
Roswell, GA 30076-3866

Phone

(770) 740-8592

NPI assigned

Aug 3, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kayla Marie Miller Former name

Medicare fee-for-service enrollment

Enrolled in GA, LA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Emory University School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physiofit Physical Therapy, LLCGroup PAC ID 3274767702, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Physiofit Physical Therapy, LLC

  • Physical Therapist
  • Raceland, LA
  • NPI 1699111674
  Medicare reassignment Care Compare group NPD
• Independent Physical Therapy of Georgia, LLC

  • Physical Therapist
  • Fort Oglethorpe, GA
  • NPI 1780636068
  Medicare reassignment NPD
• Independent Physical Therapy of Georgia, LLC

  • Occupational Therapist
  • Gainesville, GA
  • NPI 1306013941

  Physical Therapist

  NPD
• Physiofit Physical Therapy, LLC

  • Physical Therapist
  • New Orleans, LA
  • NPI 1477050656
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1023628260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11490 ALPHARETTA HWY STE 200",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763866",
            "telephone_number": "770-740-8592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2312 David Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700034504",
            "country_code": "US",
            "telephone_number": "504-435-1158",
            "fax_number": "504-518-4924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDDLESTON",
        "first_name": "KAYLA",
        "middle_name": "MILLER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014728",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10960R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "MILLER",
            "middle_name": "MARIE",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Drive Physical Therapy and Performance LLC
• DRS Burns and Krutul Inc
• Howard Drutman, PH.D.
• Tianlong Du
• Duane Farmer P.C.
• Blake Kirkland Duke, M.D.
• Mark R Dunbar, MD
• Carrie C Duncan, M.S., CCC-SLP
• Elizabeth Duncan, MT-BC
• Sherieka Shanna-Kay Duncan, M.D

• Physical Therapist in Roswell, GA
• Providers in Roswell, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.

Verify at the official NPI Registry.