Active NPI
Kathryn Elizabeth Lansing
- Pediatric Physical Therapist
- Marietta, GA
National Provider Identifier
1619444114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT013756
- Practice address
- 1230 Johnson Ferry PL Ste G10
Marietta, GA 30068-2045 - Phone
- (770) 321-6705
- NPI assigned
- Nov 1, 2018
- Last updated
- Feb 6, 2020
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT013756 | GA | Primary |
Addresses
Primary practice location
1230 Johnson Ferry PL Ste G10
Marietta, GA 30068-2045
Mailing address
1845 Piedmont Ave NE Apt 439
Atlanta, GA 30324-5164
Phone (706) 936-9757
Other practice location 1
1270 McConnell Dr Ste B
Decatur, GA 30033-3507
Phone (770) 692-6878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT013756 | GA | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine Pediatric Therapy, LLC | Pediatrics | Past | Accepting new patients |
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": "1541030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1619444114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 PIEDMONT AVE NE APT 439",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303245164",
"telephone_number": "706-936-9757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 JOHNSON FERRY PL STE G10",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300682045",
"telephone_number": "770-321-6705"
}
],
"practiceLocations": [
{
"address_1": "1270 McConnell Dr Ste B",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "GA",
"postal_code": "300333507",
"country_code": "US",
"telephone_number": "770-692-6878",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANSING",
"first_name": "KATHRYN",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-01",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "GA",
"license": "PT013756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.