Active NPI
Robin M Scott, P.T.
- Physical Therapist
- Kennesaw, GA
National Provider Identifier
1407912629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT004056
- Practice address
- 1130 Cockrell Dr NW
Kennesaw, GA 30152-4756 - Phone
- (770) 794-2288
- Fax
- (770) 794-4941
- NPI assigned
- Dec 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT004056 | GA | Primary |
| Pediatric Physical Therapist | 2251P0200X | PT004056 | GA |
Addresses
Primary practice location
1130 Cockrell Dr NW
Kennesaw, GA 30152-4756
Mailing address
1130 Cockrell Dr NW
Kennesaw, GA 30152-4756
Phone (770) 794-2288
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 |
|---|---|---|---|
| PT004056 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Just for Kids Physical Therapy, Inc. | Pediatrics | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Pediatric Physical Therapist
- Kennesaw, GA
- NPI 1881564474
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1407912629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 COCKRELL DR NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301524756",
"telephone_number": "770-794-2288",
"fax_number": "770-794-4941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 COCKRELL DR NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301524756",
"telephone_number": "770-794-2288",
"fax_number": "770-794-4941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "ROBIN",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT004056",
"primary": true
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "GA",
"license": "PT004056",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.