Kimberly A Duckworth, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT007270 Issued in GA

Practice address

5671 Peachtree Dunwoody Rd NE Ste 520
Atlanta, GA 30342-5005

Phone

(678) 843-6000

NPI assigned

Apr 22, 2013

Last updated

Apr 22, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1073957031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7860 FAWNDALE WAY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303501061",
            "telephone_number": "770-352-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5671 PEACHTREE DUNWOODY RD NE STE 520",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303425005",
            "telephone_number": "678-843-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCKWORTH",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT007270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Ducey, CCC-SLP
• Karman Duchon, MD
• Susan S Duckwall, P.A.
• Faith Duckworth
• James Coleman Duckworth
• Matthew Ryan Dudgeon, MD
• Carolyn Gail Dudley, MD
• Christopher J Dudley
• Karen Dudley, MD
• Renae Dudley

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.