Individual provider Active NPI

Erica Kilday, PT, DPT

  • Physical Therapist
  • Woodstock, GA
National Provider Identifier
1184028987
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT011683 Issued in GA
Practice address
105 Smoke Hill LN
Suite 120
Woodstock, GA 30188-7401
Phone
(404) 425-1222
Fax
(844) 239-7756
NPI assigned
Oct 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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 PT011683 GA Primary

Addresses

Primary practice location

105 Smoke Hill LN
Suite 120
Woodstock, GA 30188-7401

Mailing address

105 Smoke Hill LN
Suite 120
Woodstock, GA 30188-7401
Phone (404) 425-1222

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT011683GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Rehabilitation-Georgia Inc Past Accepting new patients
Peachtree Orthopaedic Clinic PA Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1184028987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SMOKE HILL LN",
            "address_2": "SUITE 120",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301887401",
            "telephone_number": "404-425-1222",
            "fax_number": "844-239-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SMOKE HILL LN",
            "address_2": "SUITE 120",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301887401",
            "telephone_number": "404-425-1222",
            "fax_number": "844-239-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILDAY",
        "first_name": "ERICA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.