Individual provider Active NPI

Brittany Raegan Nix, PT, DPT

  • Physical Therapist
  • Kennesaw, GA
National Provider Identifier
1649604745
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT011208 Issued in GA
Practice address
3105 Creekside Village Dr NW
Suite 701
Kennesaw, GA 30144-2394
Phone
(678) 574-6868
NPI assigned
Aug 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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 PT011208 GA Primary

Addresses

Primary practice location

3105 Creekside Village Dr NW
Suite 701
Kennesaw, GA 30144-2394

Mailing address

3105 Creekside Village Dr NW
Suite 701
Kennesaw, GA 30144-2394
Phone (678) 574-6868

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250312000158 GA Practitioner - Physical Therapist in Private Practice 0547781114 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates Inc CurrentSince Nov 30, 2024 Accepting new patients
Physiotherapy Associates, Inc Physical Therapist CurrentSince Nov 30, 2024 Accepting new patients
Physiotherapy Associates Inc Current Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients

Locations

3150 N Cobb Pkwy
Ste 150
Kennesaw, GA 30152
Phone (678) 574-6868

3105 Creekside Village Dr NW
Ste 701
Kennesaw, GA 30144
Phone (678) 574-6868

966A Killian Hill Rd SW
Lilburn, GA 30047
Phone (770) 923-4815

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1649604745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 CREEKSIDE VILLAGE DR NW",
            "address_2": "SUITE 701",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442394",
            "telephone_number": "678-574-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 CREEKSIDE VILLAGE DR NW",
            "address_2": "SUITE 701",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442394",
            "telephone_number": "678-574-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIX",
        "first_name": "BRITTANY",
        "middle_name": "RAEGAN",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.