Active NPI
John Kennedy, DPT
- Physical Therapist
- Dalton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP011913T
- Practice address
- 785 Shugart Rd Ste 10
Dalton, GA 30720-2478 - Phone
- (706) 226-0816
- NPI assigned
- Oct 8, 2019
- Last updated
- Jun 29, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12522 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benchmark Physical Therapy, Inc | Current | Accepting new patients | |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Andrew Physical Therapy, Inc | Current | Accepting new patients | |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Atlanta South Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy Georgia LLC | Physical Therapist | Current | 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.
-
dba Rehab South
- Physical Therapist
- Lawrenceville, GA
- NPI 1922051564
-
- Physical Therapy Clinic/Center
- Duluth, GA
- NPI 1083666903
-
- Physical Therapist
- Loganville, GA
- NPI 1962830406
-
dba Benchmark PT
- Occupational Therapist
- Gainesville, GA
- NPI 1306013941
Physical Therapist
-
dba BenchMark Physical Therapy
- Physical Therapist
- Fort Oglethorpe, GA
- NPI 1780636068
-
dba Results Physiotherapy
- Physical Therapy Clinic/Center
- Hixson, TN
- NPI 1962417444
Physical Therapist
-
dba Results Physiotherapy
- Physical Therapy Clinic/Center
- Chattanooga, TN
- NPI 1518695436
Physical Therapist
-
- Physical Therapy Clinic/Center
- McMinnville, OR
- NPI 1801058078
-
- Physical Therapist
- Clinton, TN
- NPI 1376073262
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
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.