Individual provider Active NPI

Kaci L. Bridges, PT, CHT

  • Hand Physical Therapist
  • Cartersville, GA
National Provider Identifier
1295099802
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Physical TherapistTaxonomy code 2251H1200X
License
5186 Issued in GA
Practice address
15 Medical Dr NE Ste 101
Cartersville, GA 30121
Phone
(770) 386-5221
Fax
(770) 386-1128
NPI assigned
Jun 28, 2012
Last updated
Jun 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Physical Therapist 2251H1200X 5186 GA Primary

Addresses

Primary practice location

15 Medical Dr NE Ste 101
Cartersville, GA 30121

Mailing address

15 Medical Dr NE Ste 101
Cartersville, GA 30121-8005
Phone (770) 386-5221

Other names 1

  • Kaci L. Myers Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180822000667 GA Practitioner - Physical Therapist in Private Practice 9537418751 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Medical College of Georgia School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5775 Old Winder Hwy
Braselton, GA 30517-1603
Phone (678) 866-4104

Merit-based Incentive Payment System (MIPS)

Final score
85.44 of 100Reported as group
Quality
66.55
Promoting interoperability
100
Improvement activities
40
Cost
84.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5186GAMDHand Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Rehabilitation & Consulting Limited Partnership Hand CurrentSince Nov 24, 2024 Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Hand CurrentSince Nov 24, 2024 Accepting new patients
Georgia Bone & Joint Surgeons, P.C. Past Accepting new patients

Locations

5775 Old Winder Hwy
Braselton, GA 30517
Phone (678) 761-6866

1000 Johnson Ferry Rd
Ste A115
Marietta, GA 30068
Phone (404) 367-2085

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1295099802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MEDICAL DR NE STE 101",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301218005",
            "telephone_number": "770-386-5221",
            "fax_number": "770-386-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MEDICAL DR NE STE 101",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "30121",
            "telephone_number": "770-386-5221",
            "fax_number": "770-386-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "KACI",
        "middle_name": "L.",
        "credential": "PT, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "GA",
            "license": "5186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KACI",
            "last_name": "MYERS",
            "middle_name": "L.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.