Individual provider Active NPI

Katie Dianne Thomas, DPT

  • Physical Therapist
  • Carrollton, GA
National Provider Identifier
1316399454
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12401 Issued in GA
Practice address
306 Tanner St
Carrollton, GA 30117-3208
Phone
(678) 664-1224
Fax
(669) 600-6907
NPI assigned
Jul 12, 2016
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12401 GA Primary

Addresses

Primary practice location

306 Tanner St
Carrollton, GA 30117-3208

Mailing address

306 Tanner St
Carrollton, GA 30117-3208
Phone (678) 664-1224

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211007003136 GA Practitioner - Physical Therapist in Private Practice 2860899028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy CompleteGroup PAC ID 0042617201, 5 clinicians

Practice addresses (Care Compare)

306 Tanner St
Carrollton, GA 30117-3208
Phone (678) 664-1224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012401GAMDGeneral Practice Dentistry
12401GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Complete Physical Therapist CurrentSince Aug 1, 2021 Accepting new patients

Locations

306 Tanner St
Carrollton, GA 30117
Phone (678) 664-1224

505 Newnan St
Carrollton, GA 30117
Phone (678) 664-1224

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, 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": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1316399454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 TANNER ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173208",
            "telephone_number": "678-664-1224",
            "fax_number": "669-600-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 TANNER ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173208",
            "telephone_number": "678-664-1224",
            "fax_number": "669-600-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KATIE",
        "middle_name": "DIANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "12401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

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