Kalin Bryn Oglesby, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT014494 Issued in GA

Practice address

690 Dallas Hwy Ste 203
Villa Rica, GA 30180-1263

Phone

(770) 459-4555

NPI assigned

Feb 19, 2020

Last updated

Feb 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Southern Therapy Services, Inc.

  • Rehabilitation Clinic/Center
  • Carrollton, GA
  • NPI 1114981669
  NPD (past)

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1265065106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E CENTER ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173303",
            "telephone_number": "678-390-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 DALLAS HWY STE 203",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801263",
            "telephone_number": "770-459-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGLESBY",
        "first_name": "KALIN",
        "middle_name": "BRYN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Michelle Nummerdor, M.A., LPC, NCC
• Shiren Nzegge-Ekane, PHARM.D.
• O.N.F.I.Y.a Agency, Inc (Onfiya)
• Oakbrook Hospice of Georgia, LLC
• Oasis Behavioral Health, LLC
• Oglethorpe Emergency Physicians
• Duke Osita Okeke, DDS
• Ubi Okim
• Ifeoma Okponyia, MD
• Ijeoma Julian Omekarah, MSN, APRN, FNP-C

• Physical Therapist in Villa Rica, GA
• Providers in Villa Rica, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.