Active NPI
Katherine Gage Crites, PT
- Physical Therapist
- Atlanta, GA
National Provider Identifier
1417036765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT006091
- Practice address
- 1995 N Park PL SE
Atlanta, GA 30339-7801 - Phone
- (770) 850-0390
- NPI assigned
- Nov 6, 2006
- 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 | PT006091 | GA | Primary |
Addresses
Primary practice location
1995 N Park PL SE
Atlanta, GA 30339-7801
Mailing address
PO Box 518
Jonesboro, GA 30237-0518
Phone (770) 631-8277
Other practice location 1
2770 Lenox Rd NE
Suite 102
Atlanta, GA 30324-6006
Phone (404) 364-9551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT006091 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiotherapy Associates Inc | Current | Accepting new patients | |
| Physiotherapy Associates Inc | Current | Accepting new patients | |
| Physiotherapy Associates | Physical Therapist | Past | Accepting new patients |
Locations
2770 Lenox Rd NE
Ste 102
Atlanta, GA 30324
Phone (404) 364-9551
966A Killian Hill Rd SW
Lilburn, GA 30047
Phone (770) 923-4815
4579 S Cobb Dr SE
Ste 100
Smyrna, GA 30080
Phone (770) 436-3665
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Lilburn, GA
- NPI 1760568257
-
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
-
- Physical Therapist
- Lithia Springs, GA
- NPI 1306905765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1417036765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 518",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302370518",
"telephone_number": "770-631-8277",
"fax_number": "770-631-9403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1995 N PARK PL SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303397801",
"telephone_number": "770-850-0390"
}
],
"practiceLocations": [
{
"address_1": "2770 Lenox Rd NE",
"address_2": "Suite 102",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303246006",
"country_code": "US",
"telephone_number": "404-364-9551",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRITES",
"first_name": "KATHERINE",
"middle_name": "GAGE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT006091",
"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 Aug 20, 2024; 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.