Individual provider Active NPI

Carly Renee Akins, PT, DPT, ATC

  • Physical Therapist
  • Rome, GA
National Provider Identifier
1265803142
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013800 Issued in GA
Practice address
1711 Martha Berry Blvd NW
Rome, GA 30165-1623
Phone
(706) 528-4207
Fax
(706) 528-4211
NPI assigned
Oct 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT 30869 FL
Physical Therapist 225100000X PT013800 GA Primary

Addresses

Primary practice location

1711 Martha Berry Blvd NW
Rome, GA 30165-1623

Mailing address

PO Box 528
Rome, GA 30162-0528
Phone (706) 638-3880

Other practice location 1

13423 Highway 27 Ste A
Trion, GA 30753-1556
Phone (706) 696-0505

Other practice location 2

106 Pearl Dr Ste 104
LA Fayette, GA 30728-7510
Phone (706) 638-3880

Other practice location 3

12415 N Main Street
Trenton, GA 30752
Phone (706) 657-2700

Other names 1

  • Carly Penhollow Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200918001690 GA Practitioner - Physical Therapist in Private Practice 8527486737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Physical Therapy and Sports Medicine IncGroup PAC ID 8426112137, 13 clinicians

Practice addresses (Care Compare)

1711 Martha Berry Blvd NW
Rome, GA 30165-1623
Phone (706) 528-4207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 30869FLMDOrthopedic Physical Therapist

Practice roles (1 of 3)

OrganizationSpecialtyStatusNew patients
Performance Physical Therapy & Sports Medicine Inc Physical Therapist CurrentSince Sep 1, 2020 Accepting new patients

Locations

106 Pearl Dr
Ste 104
La Fayette, GA 30728
Phone (706) 638-3880

1711 Martha Berry Blvd NW
Rome, GA 30165
Phone (706) 528-4207

13423 Highway 27
Ste A
Trion, GA 30753
Phone (706) 696-0505

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 1

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": "1445040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1265803142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 528",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301620528",
            "telephone_number": "706-638-3880",
            "fax_number": "706-638-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 MARTHA BERRY BLVD NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651623",
            "telephone_number": "706-528-4207",
            "fax_number": "706-528-4211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13423 Highway 27 Ste A",
            "address_purpose": "LOCATION",
            "city": "Trion",
            "state": "GA",
            "postal_code": "307531556",
            "country_code": "US",
            "telephone_number": "706-696-0505",
            "fax_number": "706-696-0506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Pearl Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "LA Fayette",
            "state": "GA",
            "postal_code": "307287510",
            "country_code": "US",
            "telephone_number": "706-638-3880",
            "fax_number": "706-638-3890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12415 N Main Street",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "GA",
            "postal_code": "30752",
            "country_code": "US",
            "telephone_number": "706-657-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKINS",
        "first_name": "CARLY",
        "middle_name": "RENEE",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-17",
        "last_updated": "2025-08-05",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT 30869",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "PENHOLLOW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.