Individual provider Active NPI

Kelly Sheats

  • Physical Therapist
  • Canton, GA
National Provider Identifier
1598645269
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016087 Issued in GA
Practice address
15 Laurel Canyon Village Cir Ste 116
Canton, GA 30114-4680
Phone
(943) 400-2250
Fax
(943) 400-2249
NPI assigned
Sep 4, 2025
Last updated
Apr 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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 PT016087 GA Primary

Addresses

Primary practice location

15 Laurel Canyon Village Cir Ste 116
Canton, GA 30114-4680

Mailing address

33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258

Other practice location 1

10150 Ball Ground Hwy Ste 106
Ball Ground, GA 30107-2574
Phone (678) 454-0321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

33900 Harper Ave
Suite 104
Clinton Township, MI 48035-4258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT016087GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Jun 26, 2026 Accepting new patients

Locations

15 Laurel Canyon Village Cir
Canton, GA 30114
Phone (943) 400-2250

15 Laurel Canyon Village Cir
Ste 116
Canton, GA 30114
Phone (943) 400-2250

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

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, 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": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1598645269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 LAUREL CANYON VILLAGE CIR STE 116",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301144680",
            "telephone_number": "943-400-2250",
            "fax_number": "943-400-2249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10150 Ball Ground Hwy Ste 106",
            "address_purpose": "LOCATION",
            "city": "Ball Ground",
            "state": "GA",
            "postal_code": "301072574",
            "country_code": "US",
            "telephone_number": "678-454-0321",
            "fax_number": "706-535-0262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEATS",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-04",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.