Katherine Lynn Dwozan, PT, DPT
Individual provider Active NPI Physical Therapist · Cumming, GA
NPI 1609224591 · NPPES record last updated Apr 3, 2019
Key facts
- NPI
- 1609224591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT012327 (GA)
- Practice address
- 3480 Keith Bridge Rd
Ste C2
Cumming, GA 30041-5568 - Phone
- (678) 455-8773
- Fax
- (678) 455-8775
- NPI assigned
- Jun 1, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Independent Physical Therapy of Georgia, LLC
Practice addresses (Care Compare)
1025 E W Connector
Suite 406
Austell, GA 30106-8531
Phone (770) 384-1001
5310 Matt Hwy
Suite 105
Cumming, GA 30028-8611
Phone (470) 239-4255
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160713002205 | GA | Practitioner - Physical Therapist in Private Practice | 7416249396 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT012327 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current |
Accepting new patients |
| Benchmark Physical Therapy, Inc | Current |
Accepting new patients | |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001
5310 Matt Hwy
Ste 105
Cumming, GA 30028
Phone (470) 239-4255
3480 Keith Bridge Rd
Ste C2
Cumming, GA 30041
Phone (678) 455-8773
1370 Buford Hwy
Ste 108
Cumming, GA 30041
Phone (770) 205-1669
7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660
11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592
6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT012327 | GA | Yes |
Addresses
Primary practice location
3480 Keith Bridge Rd
Ste C2
Cumming, GA 30041-5568
Mailing address
6397 Lee Hwy Ste 300
Chattanooga, TN 37421-4915
Phone (423) 238-7217
Other names
- Katherine Lynn Carter
Other providers in Cumming, GA
- Hannah Duran
- Melissa Thomas Durand
- Arinze Hector Duru
- Joanna Dusseau
- Dva Renal Healthcare Inc
- Cody Michael Dwyer
- Dyad Care, LLC
- Kimberly Dawn Dyckman
- Amy Dyer
- Gregory Ryan Dykes
All providers in Cumming, GA · Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.