Individual provider Active NPI

Kisha Ena Pada Pagay, PTRP, PT, DPT

  • Physical Therapist
  • Grayson, GA
National Provider Identifier
1093425969
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016529 Issued in GA
Practice address
2065 Grayson Hwy Ste B
Grayson, GA 30017-1766
Phone
(678) 367-0213
Fax
(678) 376-0213
NPI assigned
Dec 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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 PT016529 GA Primary

Addresses

Primary practice location

2065 Grayson Hwy Ste B
Grayson, GA 30017-1766

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 497-0005

Other practice location 1

1580 Sawgrass Corporate Pkwy
Sunrise, FL 33323-2859
Phone (470) 805-9171

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230725000877 GA Practitioner - Physical Therapist in Private Practice 1759742646 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benchmark Physical Therapy, IncGroup PAC ID 1557395209, 69 clinicians
Independent Physical Therapy of Georgia, LLCGroup PAC ID 2961312244, 526 clinicians

Practice addresses (Care Compare)

277 Hwy 74 N
Suite 203
Peachtree City, GA 30269-1571
Phone (678) 364-0337

3641 Centerville Hwy
Suite 4
Snellville, GA 30039-6593
Phone (470) 365-2135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT016529GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince May 12, 2023 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince May 12, 2023 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince May 12, 2023 Accepting new patients
Atlanta South Physical Therapy, Inc Physical Therapist CurrentSince May 12, 2023 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jan 26, 2025 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jan 26, 2025 Accepting new patients
Drayer Physical Therapy Georgia LLC Physical Therapist CurrentSince May 12, 2023 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

2065 Grayson Hwy
Ste B
Grayson, GA 30017
Phone (678) 367-0213

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

3455 Highway 81
Loganville, GA 30052
Phone (678) 635-8280

277 Highway 74 N
Ste 203
Peachtree City, GA 30269
Phone (678) 364-0337

3641 Centerville Hwy
Ste 4
Snellville, GA 30039
Phone (470) 365-2135

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

Organizations & group practices 7

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": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1093425969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-497-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 GRAYSON HWY STE B",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300171766",
            "telephone_number": "678-367-0213",
            "fax_number": "678-376-0213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1580 Sawgrass Corporate Pkwy",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333232859",
            "country_code": "US",
            "telephone_number": "470-805-9171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGAY",
        "first_name": "KISHA ENA",
        "middle_name": "PADA",
        "name_prefix": "Miss",
        "credential": "PTRP, PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayson, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.