Individual provider Active NPI

Kayla Paige Potts, PT, DPT

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1124478615
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT012385 Issued in GA
Practice address
495 Moreland Ave SE Ste B
Atlanta, GA 30316-1552
Phone
(404) 883-2304
Fax
(404) 393-3270
NPI assigned
Jun 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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 PT012385 GA Primary

Addresses

Primary practice location

495 Moreland Ave SE Ste B
Atlanta, GA 30316-1552

Mailing address

495 Moreland Ave SE Ste B
Atlanta, GA 30316-1552
Phone (404) 883-2304

Other names 1

  • Kayla Paige Folds Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160714001248 GA Practitioner - Physical Therapist in Private Practice 0143512988 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT012385GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Intown Physical Therapy, LLC Physical Therapist CurrentSince May 1, 2020 Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist CurrentSince Feb 1, 2017 Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist CurrentSince Feb 1, 2017 Accepting new patients

Locations

7423 Adairsville Hwy
Adairsville, GA 30103
Phone (770) 373-9315

550 Peachtree St NE
Ste 1760
Atlanta, GA 30308
Phone (404) 367-2095

495 Moreland Ave SE
Ste B
Atlanta, GA 30316
Phone (404) 883-2204

1000 Johnson Ferry Rd
Ste A115
Marietta, GA 30068
Phone (404) 367-2085

Organizations & group practices 3

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": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1124478615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 MORELAND AVE SE STE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161552",
            "telephone_number": "404-883-2304",
            "fax_number": "404-393-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 MORELAND AVE SE STE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161552",
            "telephone_number": "404-883-2304",
            "fax_number": "404-393-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTS",
        "first_name": "KAYLA",
        "middle_name": "PAIGE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "FOLDS",
            "middle_name": "PAIGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.