Individual provider Active NPI

Kerith Adler, PT, DPT

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1649408022
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
QA00851900 Issued in NJ
Practice address
1384 Christmas LN NE
Atlanta, GA 30329-3549
Phone
(732) 718-4761
Fax
(800) 655-3780
NPI assigned
Jun 24, 2009
Last updated
May 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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 QA00851900 NJ Primary

Addresses

Primary practice location

1384 Christmas LN NE
Atlanta, GA 30329-3549

Mailing address

1384 Christmas LN NE
Atlanta, GA 30329-3549
Phone (732) 718-4761

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
QA00851900NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth & Fitness, PT PC Physical Therapist Current Accepting new patients
Aka Therapy, LLC CurrentSince May 7, 2023 Accepting new patients
Prohealth & Fitness PT PC Physical Therapist Current Accepting new patients
Prohealth & Fitness Physical Therapist Past Accepting new patients
Emory Physical Therapy, LLC Past Accepting new patients

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": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1649408022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1384 CHRISTMAS LN NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293549",
            "telephone_number": "732-718-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1384 CHRISTMAS LN NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293549",
            "telephone_number": "732-718-4761",
            "fax_number": "800-655-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADLER",
        "first_name": "KERITH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA00851900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.