Gentry Baum Kozub, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT011016 Issued in GA

Practice address

1140 Stephens St SE
Smyrna, GA 30080-3540

Phone

(404) 543-7283

NPI assigned

Jun 7, 2013

Last updated

Jun 29, 2026By 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)

Enrolled

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.

• Benchmark Physical Therapy Inc

  • Physical Therapist
  • Riverdale, GA
  • NPI 1427000777
  NPD (past)
• Benchmark Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Duluth, GA
  • NPI 1083666903
  NPD (past)

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1285072694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 STEPHENS ST SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803540",
            "telephone_number": "404-543-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 STEPHENS ST SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803540",
            "telephone_number": "404-543-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZUB",
        "first_name": "GENTRY",
        "middle_name": "BAUM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Kopkin, MD
• Kostas Chiropractic Clinics, PC
• Michael John Kostas, D.C.
• Candace Hines Kotei, O.D.
• Barbara Kay Koval, CPNP
• Emily T Krause
• Deanna Ali Lababidi
• Olanrewaju Olayemi Ladipo, M.D
• Elizabeth Lai, PHARMD, MBA
• Lake Park Dental Georgia

• Physical Therapist in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.