Individual provider Active NPI

Katlyn Michelle Leblanc, DPT, PT

  • Physical Therapist
  • Newnan, GA
National Provider Identifier
1598569360
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017863 Issued in GA
Practice address
1575 Highway 34 E Ste B
Newnan, GA 30265-2401
Phone
(770) 683-5042
Fax
(678) 877-8444
NPI assigned
Apr 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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 PT017863 GA Primary

Addresses

Primary practice location

1575 Highway 34 E Ste B
Newnan, GA 30265-2401

Mailing address

203 Narrows Pkwy Ste D
Birmingham, AL 35242-8649
Phone (770) 683-5042

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250821004955 GA Practitioner - Physical Therapist in Private Practice 1658871819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1575 E Hwy 34
Suite B
Newnan, GA 30265
Phone (770) 683-5042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
P4 Physical Therapy Limited Partnership Physical Therapist CurrentSince Jul 23, 2025 Accepting new patients
P4 Physical Therapy Limited Partnership Physical Therapist CurrentSince Jul 23, 2025 Accepting new patients

Locations

203 Narrows Pkwy
Ste D
Birmingham, AL 35242
Phone (205) 719-2420

1805 W Point Rd
Ste A
Lagrange, GA 30240
Phone (706) 845-9383

1575 Highway 34 E
#B
Newnan, GA 30265
Phone (770) 252-5279

Organizations & group practices 2

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": "1743552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1598569360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 NARROWS PKWY STE D",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352428649",
            "telephone_number": "770-683-5042",
            "fax_number": "678-877-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 HIGHWAY 34 E STE B",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652401",
            "telephone_number": "770-683-5042",
            "fax_number": "678-877-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "KATLYN",
        "middle_name": "MICHELLE",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.