Individual provider Active NPI

Kyle J Donahue, DPT

  • Physical Therapist
  • Dunwoody, GA
National Provider Identifier
1649164534
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2021 Pernoshal CT Ste 2200
Dunwoody, GA 30338-6405
Phone
(404) 778-6031
Fax
(404) 778-6034
NPI assigned
Jun 5, 2025
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 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 Primary

Addresses

Primary practice location

2021 Pernoshal CT Ste 2200
Dunwoody, GA 30338-6405

Mailing address

PO Box 102831
Atlanta, GA 30368-2831
Phone (404) 778-6031

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250805003276 GA Practitioner - Physical Therapist in Private Practice 1658889159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Emory University School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emory Physical Therapy, LLCGroup PAC ID 1153382676, 96 clinicians

Practice addresses (Care Compare)

2021 Pernoshal CT
Suite 2200
Dunwoody, GA 30338-6405
Phone (404) 778-6031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Physical Therapy, LLC CurrentSince Jun 28, 2025 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Jun 28, 2025 Accepting new patients
Emory Physical Therapy, LLC Current Accepting new patients
Emory Physical Therapy, LLC Past Accepting new patients
Emory Physical Therapy, LLC PastSince Oct 6, 2024 Accepting new patients

Locations

1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490

2021 Pernoshal Ct
Ste 2200
Dunwoody, GA 30338
Phone (404) 778-6031

8259 Wicker Ave
Saint John, IN 46373
Phone (219) 365-6560

Organizations & group practices 5

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": "1749081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1649164534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102831",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682831",
            "telephone_number": "404-778-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 PERNOSHAL CT STE 2200",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303386405",
            "telephone_number": "404-778-6031",
            "fax_number": "404-778-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAHUE",
        "first_name": "KYLE",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.