Active NPI
Kaitlyn Grube
- Physical Therapist
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT017598
- Practice address
- 3405 Dallas Hwy SW Ste 601
Marietta, GA 30064-6427 - Phone
- (770) 438-5226
- NPI assigned
- Feb 18, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT017598 | GA | Primary |
Addresses
Primary practice location
3405 Dallas Hwy SW Ste 601
Marietta, GA 30064-6427
Mailing address
1875 Maple Dr Apt 408
Kennesaw, GA 30144-1677
Phone (336) 707-2251
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
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
Practice addresses (Care Compare)
1401 8TH Ave W
Suite a
Palmetto, FL 34221-3171
Phone (941) 722-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT017598 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fitness Quest - Venice LLC | Physical Therapist | Current | Accepting new patients |
| Fitness Quest - Venice LLC | Current | Accepting new patients |
Locations
3657 Cortez Rd W
Ste 110
Bradenton, FL 34210
Phone (941) 361-9020
1401 8th Ave W
Ste A
Palmetto, FL 34221
Phone (941) 722-4000
400 Tamiami Trl S
Ste 210
Venice, FL 34285
Phone (877) 469-3778
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Lakewood Ranch, FL
- NPI 1033129895
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Longboat Key, FL
- NPI 1427936889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739836800000",
"number": "1861297491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1875 MAPLE DR APT 408",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301441677",
"telephone_number": "336-707-2251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3405 DALLAS HWY SW STE 601",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300646427",
"telephone_number": "770-438-5226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBE",
"first_name": "KAITLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-18",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT017598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.