Individual provider Active NPI

Kathy Lynn Kinnison, P.T.

  • Physical Therapist
  • Ellijay, GA
National Provider Identifier
1679857619
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018260 Issued in GA
Practice address
943 Progress Rd
Ellijay, GA 30540-8800
Phone
(706) 698-3000
NPI assigned
Oct 10, 2011
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT018260 GA Primary
Physical Therapist 225100000X PTH6903 AL

Addresses

Primary practice location

943 Progress Rd
Ellijay, GA 30540-8800

Mailing address

943 Progress Rd
Ellijay, GA 30540-8800
Phone (256) 386-2649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, AL, GA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120119000927 VA Practitioner - Physical Therapist in Private Practice 0244407997 Reassigns benefits to 2 organizations
I20131029000703 AL Practitioner - Physical Therapist in Private Practice 0244407997 Reassigns benefits to 2 organizations
I20260331001065 GA Practitioner - Physical Therapist in Private Practice 0244407997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Virginia Orthopaedics and Sports MedicineGroup PAC ID 6305742610, 9 clinicians
Bryant Physical TherapyGroup PAC ID 7113082751, 6 clinicians

Practice addresses (Care Compare)

501 Park Hill Dr
Fredericksburg, VA 22401-3377
Phone (540) 372-6737

943 Progress Rd
Ellijay, GA 30540-8800
Phone (706) 698-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH6903ALMDPhysical Therapist
PT018260GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings of Alabama, LLC Physical Therapist CurrentSince Dec 2, 2019 Accepting new patients
Liberty Sports & Physical Therapy LLC CurrentSince Mar 24, 2022 Accepting new patients
Central Virginia Orthopaedics & Sports Medicine Physical Therapist CurrentSince Mar 15, 2021 Accepting new patients
Shoals Orthopedics, PC Physical Therapist CurrentSince Oct 13, 2014 Accepting new patients
Bryant Physical Therapy Physical Therapist CurrentSince Apr 6, 2026 Accepting new patients
Anniston Orthopedics Associates PA Past Accepting new patients
Jason D. Cobb, MD, LLC Past Accepting new patients
Complete Family Practice Past Accepting new patients

Locations

1877 Cherokee Ave SW
Cullman, AL 35055
Phone (256) 727-1701

426 W College St
Florence, AL 35630
Phone (256) 718-4041

203 Avalon Ave
Ste 340
Muscle Shoals, AL 35661
Phone (256) 314-6947

943 Progress Rd
Ellijay, GA 30540
Phone (706) 633-3421

501 Park Hill Dr
Fredericksburg, VA 22401
Phone (540) 372-6737

450 Garrisonville Rd
Ste 101
Stafford, VA 22554
Phone (540) 372-6737

Organizations & group practices 8

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": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1679857619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 PROGRESS RD",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305408800",
            "telephone_number": "256-386-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 PROGRESS RD",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305408800",
            "telephone_number": "706-698-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNISON",
        "first_name": "KATHY",
        "middle_name": "LYNN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-10",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT018260",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH6903",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellijay, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.