Kelly Hardesty

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1615 Ridenour Blvd NW Ste 204
Kennesaw, GA 30152-4464

Phone

(770) 580-8070

Fax

(770) 285-8751

NPI assigned

Aug 22, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Amy Beth Hopkins MPT PC Dba Your Personal Best PT

  • Physical Therapist
  • Austin, TX
  • NPI 1326082660
  Medicare reassignment NPD
• Amy Beth Hopkins MPT PC Dba Your Personal Best PT

  • Physical Therapist
  • Copperas Cove, TX
  • NPI 1275165631
  NPD
• Amy Beth Hopkins MPT PC Dba Your Personal Best PT

  • Physical Therapist
  • Austin, TX
  • NPI 1285200477
  NPD
• PT Solutions of Acworth LLC

  • Physical Therapist
  • Kennesaw, GA
  • NPI 1184075210
  NPD (past)
• PT Solutions of Acworth LLC

  • Physical Therapist
  • Augusta, GA
  • NPI 1518435189
  NPD (past)

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1669953238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 724557",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311391557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 RIDENOUR BLVD NW STE 204",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524464",
            "telephone_number": "770-580-8070",
            "fax_number": "770-285-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDESTY",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Nicole Hannah
• Tahisha Batrice Hannor, MSN, APRN, FNP-C
• Happy Life Home Care LLC
• Aaron Harbin, RBT
• Harbor of Love
• Stephen McKay Harding, DPT
• Tia Harding, D.D.S.
• Tasiana B Harmon
• Devon Ariel Harness, LCSW
• Harrington Home Healthcare LLC

• Physical Therapist in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.