Individual provider Active NPI

Kaitlin Jan Threlkeld Rodi, PT, DPT

  • Physical Therapist
  • Gainesville, GA
National Provider Identifier
1649073396
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016794 Issued in GA
Practice address
250 John W Morrow Jr Pkwy Ste 115
Gainesville, GA 30501-8532
Phone
(678) 862-0007
NPI assigned
Mar 28, 2025
Last updated
Mar 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 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 PT016794 GA Primary

Addresses

Primary practice location

250 John W Morrow Jr Pkwy Ste 115
Gainesville, GA 30501-8532

Mailing address

4110 Pebble Creek LN Apt 3B
Oakwood, GA 30566-6206
Phone (678) 943-5574

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250509001425 GA Practitioner - Physical Therapist in Private Practice 5698292985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellnyss IncGroup PAC ID 8628459302, 9 clinicians

Practice addresses (Care Compare)

250 John W Morrow Jr Pkwy
Suite 115
Gainesville, GA 30501-8532
Phone (678) 862-0007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnyss Inc CurrentSince May 1, 2025 Accepting new patients
Denizen Endeavors Inc. CurrentSince Mar 30, 2025 Accepting new patients

Locations

3820 Pleasant Hill Rd
Ste 4
Duluth, GA 30096
Phone (770) 623-9291

250 John W Morrow Jr Pkwy
Ste 115
Gainesville, GA 30501
Phone (678) 862-0007

6955 McGinnis Ferry Rd
Ste 111
Johns Creek, GA 30097

3429 Lawrenceville Suwanee Rd
Ste A
Suwanee, GA 30024
Phone (770) 800-8010

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, 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": "1743120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1649073396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 PEBBLE CREEK LN APT 3B",
            "city": "OAKWOOD",
            "state": "GA",
            "postal_code": "305666206",
            "telephone_number": "678-943-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 JOHN W MORROW JR PKWY STE 115",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305018532",
            "telephone_number": "678-862-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODI",
        "first_name": "KAITLIN",
        "middle_name": "JAN THRELKELD",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.