Individual provider Active NPI

Christopher Kattner, PTA

  • Physical Therapy Assistant
  • Dallas, GA
National Provider Identifier
1023707569
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA004445 Issued in GA
Practice address
500 Nathan Dean Blvd Ste 108
Dallas, GA 30157-4912
Phone
(678) 402-7770
Fax
(678) 402-6947
NPI assigned
May 2, 2023
Last updated
May 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA004445 GA Primary

Addresses

Primary practice location

500 Nathan Dean Blvd Ste 108
Dallas, GA 30157-4912

Mailing address

2000 Mirror Lake Blvd Ste S
Villa Rica, GA 30180-2126
Phone (770) 456-7877

Other practice location 1

120 Cunningham Dr Ste F
Carrollton, GA 30117-2818
Phone (678) 664-1467

Other practice location 2

2000 Mirror Lake Blvd Ste S
Villa Rica, GA 30180-2126
Phone (770) 456-7877

Other practice location 3

2983 Chapel Hill Rd Ste 106
Douglasville, GA 30135-1767
Phone (770) 947-8177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA004445GAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Accel Physical Therapy Inc CurrentSince Jul 1, 2007 Accepting new patients

Locations

120 Cunningham Dr
Ste F
Carrollton, GA 30117
Phone (678) 664-1467

500 Nathan Dean Blvd
Ste 108
Dallas, GA 30157
Phone (678) 402-7770

2983 Chapel Hill Rd
Ste 106
Douglasville, GA 30135
Phone (770) 947-8177

2000 Mirror Lake Blvd
Ste S
Villa Rica, GA 30180
Phone (404) 667-5001

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1023707569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MIRROR LAKE BLVD STE S",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301802126",
            "telephone_number": "770-456-7877",
            "fax_number": "770-456-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NATHAN DEAN BLVD STE 108",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301574912",
            "telephone_number": "678-402-7770",
            "fax_number": "678-402-6947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Cunningham Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "301172818",
            "country_code": "US",
            "telephone_number": "678-664-1467",
            "fax_number": "678-664-1483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Mirror Lake Blvd Ste S",
            "address_purpose": "LOCATION",
            "city": "Villa Rica",
            "state": "GA",
            "postal_code": "301802126",
            "country_code": "US",
            "telephone_number": "770-456-7877",
            "fax_number": "770-456-7880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2983 Chapel Hill Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301351767",
            "country_code": "US",
            "telephone_number": "770-947-8177",
            "fax_number": "770-947-8377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATTNER",
        "first_name": "CHRISTOPHER",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA004445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.