Active NPI
Kelly Sartain, PT, DPT
- Physical Therapist
- Monroe, GA
National Provider Identifier
1922928407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT018492
- Practice address
- 705 Breedlove Dr Ste 200
Monroe, GA 30655-2080 - Phone
- (770) 554-5009
- Fax
- (706) 546-8792
- NPI assigned
- Jul 16, 2026
- Last updated
- Aug 17, 2026
- 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 | PT018492 | GA | Primary |
Addresses
Primary practice location
705 Breedlove Dr Ste 200
Monroe, GA 30655-2080
Mailing address
1765 Old West Broad St BLDG 2-200
Athens, GA 30606-2887
Phone (706) 549-1663
Other practice location 1
1765 Old West Broad St
Athens, GA 30606-2853
Phone (706) 549-1663
Other practice location 2
850 King Ave
Athens, GA 30606-2838
Phone (706) 549-1663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16864866 | Other | GA | CAQH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kelly.sartain.1@28045.direct.athenahealth.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT018492 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1922928407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1765 OLD WEST BROAD ST BLDG 2-200",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062887",
"telephone_number": "706-549-1663",
"fax_number": "706-546-8792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 BREEDLOVE DR STE 200",
"city": "MONROE",
"state": "GA",
"postal_code": "306552080",
"telephone_number": "770-554-5009",
"fax_number": "706-546-8792"
}
],
"practiceLocations": [
{
"address_1": "1765 Old West Broad St",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "GA",
"postal_code": "306062853",
"country_code": "US",
"telephone_number": "706-549-1663",
"fax_number": "706-546-8792",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "850 King Ave",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "GA",
"postal_code": "306062838",
"country_code": "US",
"telephone_number": "706-549-1663",
"fax_number": "706-546-8792",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SARTAIN",
"first_name": "KELLY",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-16",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT018492",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "16864866",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kelly.sartain.1@28045.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "Athena Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "705 Breedlove Dr Ste 200",
"city": "Monroe",
"state": "GA",
"country_code": "US",
"postal_code": "306552080",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Monroe, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.