Individual provider Active NPI

Kathlyn D Norman, PT

  • Physical Therapist
  • Lookout Mountain, GA
National Provider Identifier
1497573596
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015873 Issued in GA
Practice address
1426 Wood Nymph TRL
Lookout Mountain, GA 30750-2630
Phone
(205) 471-4675
NPI assigned
Sep 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT015873 GA Primary

Addresses

Primary practice location

1426 Wood Nymph TRL
Lookout Mountain, GA 30750-2630

Mailing address

1426 Wood Nymph TRL
Lookout Mountain, GA 30750-2630
Phone (205) 471-4675

Other practice location 1

820 Scenic Hwy Ste B
Lookout Mountain, TN 37350-1418
Phone (731) 313-0057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250130001267 TN Practitioner - Physical Therapist in Private Practice 4880123272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lookout Mountain Physical Therapy LLC 4 clinicians

Practice addresses (Care Compare)

820 Scenic Hwy
Suite B
Lookout Mountain, TN 37350-1418
Phone (731) 313-0057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT015873GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lookout Mountain Physical Therapy, LLC Physical Therapist CurrentSince Dec 8, 2024 Accepting new patients

Locations

820 Scenic Hwy
Ste B
Lookout Mtn, TN 37350
Phone (423) 825-1393

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.

NPI Registry JSON

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1497573596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 WOOD NYMPH TRL",
            "city": "LOOKOUT MOUNTAIN",
            "state": "GA",
            "postal_code": "307502630",
            "telephone_number": "205-471-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 WOOD NYMPH TRL",
            "city": "LOOKOUT MOUNTAIN",
            "state": "GA",
            "postal_code": "307502630",
            "telephone_number": "205-471-4675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 Scenic Hwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Lookout Mountain",
            "state": "TN",
            "postal_code": "373501418",
            "country_code": "US",
            "telephone_number": "731-313-0057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "KATHLYN",
        "middle_name": "D",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lookout Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.