Individual provider Active NPI

Colton Kenneth Head, PT, DPT

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1336746379
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014859 Issued in GA
Practice address
1266 W Paces Ferry Rd NW Ste 664
Atlanta, GA 30327-2306
Phone
(404) 467-7780
NPI assigned
Oct 2, 2020
Last updated
Apr 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 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 PT014859 GA Primary

Addresses

Primary practice location

1266 W Paces Ferry Rd NW Ste 664
Atlanta, GA 30327-2306

Mailing address

1266 W Paces Ferry Rd NW # 664
Atlanta, GA 30327-2306
Phone (404) 467-7780

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210113001080 GA Practitioner - Physical Therapist in Private Practice 2062825987 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Luna Care Physical Therapy LLCGroup PAC ID 4082027727, 167 clinicians

Practice addresses (Care Compare)

260 Peachtree St NW
Suite 2200
Atlanta, GA 30303-1292
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT014859GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BJT and Associates Physical Therapist CurrentSince Jul 12, 2021 Accepting new patients
The Sports Rehabilitation Center CurrentSince Apr 8, 2021 Accepting new patients
Georgia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Nov 19, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Oct 6, 2020 Accepting new patients
Movement Concierge Current Accepting new patients
BJT & Associates Physical Therapist CurrentSince Jul 12, 2021 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Oct 6, 2020 Accepting new patients
Emory Physical Therapy, LLC Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870

555 10th St NW
Atlanta, GA 30318
Phone (404) 477-8888

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

2669 Osborne Rd NE
Ste A
Brookhaven, GA 30319
Phone (404) 477-4777

2750 Chapel Hill Rd
Ste 1200
Douglasville, GA 30135
Phone (678) 981-6290

5342 Tilly Mill Rd
Dunwoody, GA 30338
Phone (678) 812-4031

Organizations & group practices 9

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": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1336746379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 W PACES FERRY RD NW # 664",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272306",
            "telephone_number": "404-467-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 W PACES FERRY RD NW STE 664",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272306",
            "telephone_number": "404-467-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAD",
        "first_name": "COLTON",
        "middle_name": "KENNETH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-02",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.