Individual provider Active NPI

John Kennedy, DPT

  • Physical Therapist
  • Dalton, GA
National Provider Identifier
1427690726
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP011913T Issued in GA
Practice address
785 Shugart Rd Ste 10
Dalton, GA 30720-2478
Phone
(706) 226-0816
NPI assigned
Oct 8, 2019
Last updated
Jun 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12522 TN
Physical Therapist 225100000X CP011913T GA Primary

Addresses

Primary practice location

785 Shugart Rd Ste 10
Dalton, GA 30720-2478

Mailing address

6397 Lee Hwy Ste 300
Chattanooga, TN 37421-4915
Phone (423) 238-8923

Other practice location 1

2025 NE Baker St Ste A
McMinnville, OR 97128-2656
Phone (503) 435-1900

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
12522TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy, Inc CurrentSince Jul 5, 2022 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jul 5, 2022 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Dec 4, 2023 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jun 3, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jul 5, 2022 Accepting new patients
Andrew Physical Therapy, Inc CurrentSince May 29, 2020 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Dec 4, 2023 Accepting new patients
Atlanta South Physical Therapy, Inc Physical Therapist CurrentSince Jul 5, 2022 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jun 3, 2024 Accepting new patients
Drayer Physical Therapy Georgia LLC Physical Therapist CurrentSince Jul 5, 2022 Accepting new patients

Locations

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

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

785 Shugart Rd
Ste 10
Dalton, GA 30720
Phone (706) 226-0816

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

3455 Highway 81
Loganville, GA 30052
Phone (678) 635-8280

2025 NE Baker St
Ste A
McMinnville, OR 97128
Phone (503) 435-1900

2435 NE Cumulus Ave
Ste D
McMinnville, OR 97128
Phone (503) 857-0897

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

960 S Seivers Blvd
Clinton, TN 37716
Phone (865) 270-3178

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

4957 Swinyar Dr
Ste 103
Ooltewah, TN 37363
Phone (423) 664-0800

Organizations & group practices 10

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": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1427690726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214915",
            "telephone_number": "423-238-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 SHUGART RD STE 10",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202478",
            "telephone_number": "706-226-0816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2025 NE Baker St Ste A",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "OR",
            "postal_code": "971282656",
            "country_code": "US",
            "telephone_number": "503-435-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "JOHN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-08",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12522",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP011913T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.