Kevin Cosola, DPT
Individual provider Active NPI Physical Therapist · Tucker, GA
NPI 1821644089 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1821644089
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT014199 (GA)
- Practice address
- 1370 Montreal Rd Ste 100
Tucker, GA 30084-8128 - Phone
- (470) 719-4300
- Fax
- (470) 719-4304
- NPI assigned
- Aug 14, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Team Rehabilitation Services LLC
Practice addresses (Care Compare)
1370 Montreal Rd
Suite 100
Tucker, GA 30084-8128
Phone (470) 719-4300
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.73 of 100
- Quality
- 87.86
- Improvement activities
- 40
- Cost
- 61.36
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210623001520 | GA | Practitioner - Physical Therapist in Private Practice | 9739580168 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Rehabilitation Services, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
975 Dawsonville Hwy
Ste 6
Gainesville, GA 30501
Phone (470) 768-8100
1370 Montreal Rd
Ste 100
Tucker, GA 30084
Phone (470) 719-4300
33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT014199 | GA | Yes |
Addresses
Primary practice location
1370 Montreal Rd Ste 100
Tucker, GA 30084-8128
Mailing address
33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Phone (586) 350-2644
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.