Individual provider Active NPI

Katie Alexandra Raisor, PT

  • Physical Therapist
  • Jasper, GA
National Provider Identifier
1548669245
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT011670 Issued in GA
Practice address
371 Noah Drive
Suite102
Jasper, GA 30143-8707
Phone
(706) 353-6287
Fax
(888) 557-0938
NPI assigned
Aug 19, 2014
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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 PTH9964 AL
Physical Therapist 225100000X PT011670 GA Primary

Addresses

Primary practice location

371 Noah Drive
Suite102
Jasper, GA 30143-8707

Mailing address

371 Noah Dr Ste 102
Jasper, GA 30143-8708
Phone (706) 253-6287

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150312001024 GA Practitioner - Physical Therapist in Private Practice 2062738941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Beginning Therapeutic ServicesGroup PAC ID 8123065406, 9 clinicians

Practice addresses (Care Compare)

371 Noah Dr
Jasper, GA 30143-8707
Phone (706) 253-6287

76 Recreation Lane
Jasper, GA 30143
Phone (678) 764-6767

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH9964ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginning Therapeutic Services Physical Therapist CurrentSince Jun 17, 2024 Accepting new patients
Independent Physical Therapy of Ga, LLC Physical Therapist PastSince Jul 29, 2020 Accepting new patients
Drayer Physical Therapy Georgia LLC Physical Therapist PastSince Sep 15, 2019 Accepting new patients

Locations

371 Noah Dr
Jasper, GA 30143
Phone (706) 253-6287

371 Noah Dr
Ste 102
Jasper, GA 30143
Phone (706) 253-6287

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, 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": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1548669245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 NOAH DR STE 102",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301438708",
            "telephone_number": "706-253-6287",
            "fax_number": "888-557-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 NOAH DRIVE",
            "address_2": "SUITE102",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301438707",
            "telephone_number": "706-353-6287",
            "fax_number": "888-557-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAISOR",
        "first_name": "KATIE",
        "middle_name": "ALEXANDRA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH9964",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.