Active NPI
Carly Renee Akins, PT, DPT, ATC
- Physical Therapist
- Rome, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT013800
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT 30869 | FL | MD | Orthopedic Physical Therapist |
Practice roles (1 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performance Physical Therapy & Sports Medicine Inc | Physical Therapist | Current | 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.
-
- Physical Therapist
- La Fayette, GA
- NPI 1871738872
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.