Active NPI
Kirtika Patel
- Physical Therapist
- Acworth, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT009929
- Practice address
- 3450 Cobb Pkwy NW Ste 220
Acworth, GA 30101-8352 - Phone
- (770) 974-1978
- NPI assigned
- Jun 3, 2008
- 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 | PT009929 | GA | Primary |
Addresses
Primary practice location
3450 Cobb Pkwy NW Ste 220
Acworth, GA 30101-8352
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 541-3263
Other practice location 1
5495 Heatherbrooke Dr NW
Acworth, GA 30101-7182
Phone (706) 459-0102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1025 E W Connector
Suite 406
Austell, GA 30106-8531
Phone (770) 384-1001
3450 Cobb Pkwy NW
Suite 210
Acworth, GA 30101-8352
Phone (770) 974-1978
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT009929 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy, LLC | Current | Accepting new patients | |
| Orthopedic Associates of Naperville SC | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
3450 Cobb Pkwy NW
Ste 210
Acworth, GA 30101
Phone (770) 974-1978
3450 Cobb Pkwy NW
Ste 220
Acworth, GA 30101
Phone (770) 974-1978
1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001
Organizations & group practices 4
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 Therapist
- Fort Oglethorpe, GA
- NPI 1780636068
-
- Occupational Therapist
- Gainesville, GA
- NPI 1306013941
Physical Therapist
-
- Physical Therapy Clinic/Center
- Fairburn, GA
- NPI 1013257856
-
- Specialist
- Naperville, IL
- NPI 1699892794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1578722682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-541-3263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 COBB PKWY NW STE 220",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301018352",
"telephone_number": "770-974-1978"
}
],
"practiceLocations": [
{
"address_1": "5495 Heatherbrooke Dr NW",
"address_purpose": "LOCATION",
"city": "Acworth",
"state": "GA",
"postal_code": "301017182",
"country_code": "US",
"telephone_number": "706-459-0102",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "KIRTIKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-03",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT009929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Acworth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.