Kadie Michelle Mitchell, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015193 Issued in GA

Practice address

909 S Park St Ste E
Carrollton, GA 30117-4456

Phone

(770) 834-8702

Fax

(770) 830-8106

NPI assigned

Oct 31, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kadie Coker Former name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Independent Physical Therapy of Georgia, LLCGroup PAC ID 2961312244, 526 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Independent Physical Therapy of Georgia, LLC

  • Physical Therapist
  • Fort Oglethorpe, GA
  • NPI 1780636068
  Medicare reassignment Care Compare group NPD
• Benchmark Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Duluth, GA
  • NPI 1083666903
  Medicare reassignment NPD
• Atlanta South Physical Therapy, Inc

  • Physical Therapist
  • Lawrenceville, GA
  • NPI 1922051564
  NPD
• Independent Physical Therapy of Georgia, LLC

  • Occupational Therapist
  • Gainesville, GA
  • NPI 1306013941

  Physical Therapist

  NPD

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1750925905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 S PARK ST STE E",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174456",
            "telephone_number": "770-834-8702",
            "fax_number": "770-830-8106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "831 1st St N Ste B",
            "address_purpose": "LOCATION",
            "city": "Alabaster",
            "state": "AL",
            "postal_code": "350078944",
            "country_code": "US",
            "telephone_number": "205-358-9138",
            "fax_number": "205-358-9139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KADIE",
        "middle_name": "MICHELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH9640",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KADIE",
            "last_name": "COKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sydney Danielle Miller
• John Michael Mills, DMD
• Mind Body Soul Counseling Services, LLC
• Keri L Minton, PA
• Jesse Mitchell Jr., M.D.
• Patricia Mitchell
• Juliet Njideka Mkpuechina
• Jeremiah Mobley, MBID, ATC
• Callie Chaffe Mohn, DC
• Molding Passionate Active Creative Kids Corporation

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.