Taylor Kinnison, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT016040 Issued in GA

Practice address

1821 Battlefield Pkwy
Fort Oglethorpe, GA 30742-4021

Phone

(706) 861-7471

Fax

(706) 861-7472

NPI assigned

Aug 7, 2022

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

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Georgia Pediatric Therapies, LLC

  • Physical Therapist
  • Fort Oglethorpe, GA
  • NPI 1447499132
  Medicare reassignment NPD
• North Georgia Pediatric Therapies, LLC

  • Physical Therapist
  • Fort Oglethorpe, GA
  • NPI 1538716865
  NPD

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

{
    "created_epoch": "1659830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659830400000",
    "number": "1407583602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 BATTLEFIELD PKWY",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307424021",
            "telephone_number": "706-861-7471",
            "fax_number": "706-861-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 BATTLEFIELD PKWY",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307424021",
            "telephone_number": "706-861-7471",
            "fax_number": "706-861-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNISON",
        "first_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-07",
        "last_updated": "2022-08-07",
        "certification_date": "2022-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• K-VA-T Food Stores Inc
• Michelle Kathryn Kadetz, NP
• Kimberly Luke Keen, LMFT
• Lauren Brooke Keeton
• Linda Jong Un Kim, M.D.
• Terry Knighton, CAC
• Ira H Kraus, DPM
• Ken K Kwok, M.D.
• Trisha Lawson
• Lee Family Dentstry, LLC

• Physical Therapist in Fort Oglethorpe, GA
• Providers in Fort Oglethorpe, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.