Individual provider Active NPI

Kelly Marie Atwood, PT, DPT

  • Pediatric Physical Therapist
  • Cumming, GA
National Provider Identifier
1992424121
Registry record updated Aug 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
PT016157 Issued in GA
Practice address
2450 Atlanta Hwy Ste 701
Cumming, GA 30040-1255
Phone
(404) 834-8404
NPI assigned
Aug 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X PT016157 GA Primary

Addresses

Primary practice location

2450 Atlanta Hwy Ste 701
Cumming, GA 30040-1255

Mailing address

2450 Atlanta Hwy Ste 701
Cumming, GA 30040-1255

Other identifiers 1

IdentifierTypeStateIssuer
PT016157OtherGAGEORGIA PT LICENSE

Other names 1

  • Kelly Marie Batzel Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kellyb@wilestherapyforkids.com

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT016157GAMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spot on Therapy for Kids, LLC Pediatrics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754179200000",
    "number": "1992424121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 ATLANTA HWY STE 701",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 ATLANTA HWY STE 701",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401255",
            "telephone_number": "404-834-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATWOOD",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2025-08-03",
        "certification_date": "2025-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "PT016157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA PT LICENSE",
            "identifier": "PT016157",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kellyb@wilestherapyforkids.com",
            "affiliation": "N",
            "endpointDescription": "hippa compliant encrypted email",
            "address_1": "2450 Atlanta Hwy Ste 701",
            "city": "Cumming",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300401255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "BATZEL",
            "middle_name": "MARIE",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.