Active NPI
Kendra Lyn Nye Guthrie, DPT
- Physical Therapist
- Atlanta, GA
National Provider Identifier
1346404704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 009280
- Practice address
- 4355 Georgetown SQ
Atlanta, GA 30338-6266 - Phone
- (770) 451-0822
- Fax
- (770) 451-0266
- NPI assigned
- Jul 15, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 009280 | GA | Primary |
Addresses
Primary practice location
4355 Georgetown SQ
Atlanta, GA 30338-6266
Mailing address
4355 Georgetown SQ
Atlanta, GA 30338-6266
Phone (770) 451-0822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009280 | Other | GA | PT 009280 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 009280 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216080000000",
"number": "1346404704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4355 GEORGETOWN SQ",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303386266",
"telephone_number": "770-451-0822",
"fax_number": "770-451-0266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4355 GEORGETOWN SQ",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303386266",
"telephone_number": "770-451-0822",
"fax_number": "770-451-0266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYE GUTHRIE",
"first_name": "KENDRA",
"middle_name": "LYN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-15",
"last_updated": "2008-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT 009280",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT 009280",
"identifier": "009280",
"state": "GA"
}
],
"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 Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.