Individual provider Active NPI

Jacob Barnette

  • Physical Therapist
  • Kennesaw, GA
National Provider Identifier
1740014018
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017317 Issued in GA
Practice address
1200 Ernest W Barrett Pkwy NW Ste 144
Kennesaw, GA 30144-4513
Phone
(470) 524-2800
Fax
(470) 524-2801
NPI assigned
Aug 29, 2024
Last updated
Jan 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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 PT017317 GA Primary

Addresses

Primary practice location

1200 Ernest W Barrett Pkwy NW Ste 144
Kennesaw, GA 30144-4513

Mailing address

33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241118001105 GA Practitioner - Physical Therapist in Private Practice 8426582172 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Team Rehabilitation Services LLCGroup PAC ID 2264479518, 569 clinicians

Practice addresses (Care Compare)

102 Hines Rd NE
Suite 3
Calhoun, GA 30701-9383
Phone (706) 602-9655

1200 Ernest W Barrett Pkwy NW
Suite 144
Kennesaw, GA 30144-4513
Phone (470) 524-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy, Inc CurrentSince Aug 23, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Aug 23, 2024 Accepting new patients
Independent Physical Therapy of Ga, LLC Physical Therapist CurrentSince Aug 23, 2024 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Jan 14, 2026 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Aug 23, 2024 Accepting new patients
Benchmark Physical Therapy, Inc Physical Therapist CurrentSince Aug 23, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist Current Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Aug 23, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

102 Hines Rd NE
Ste 3
Calhoun, GA 30701
Phone (706) 602-9383

626 E Main St
Cartersville, GA 30121
Phone (770) 383-9734

975 Dawsonville Hwy
Ste 6
Gainesville, GA 30501
Phone (470) 768-8100

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

1200 Ernest W Barrett Pkwy NW
Ste 144
Kennesaw, GA 30144
Phone (470) 524-2800

3460 Sandy Plains Rd
Unit 610
Marietta, GA 30066
Phone (678) 631-5878

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

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": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1740014018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ERNEST W BARRETT PKWY NW STE 144",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444513",
            "telephone_number": "470-524-2800",
            "fax_number": "470-524-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNETTE",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-29",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017317",
            "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 Jan 15, 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.