P Praxis·MD
● Active Type 2 · Organization

Orthosport Physical Therapy Llc

Clinic/Center·Kennesaw, GA· NPI 1174501100 · Enumerated 2006 · 20 years on NPI
Orthosport Physical Therapy Llc is 1 of 627 clinic/center organizations in Georgia.
NPI age
20 years
Enumerated 2006-01-09
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Chastain
Founder And Ceo
Last NPPES update
2008-02-07
Source: monthly bulk 2026-05

How this organization compares

Across 627 active clinic/center providers in Georgia.

NPI age
20 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-01Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
3450 Acworth Due West Rd Nw, Suite 310
Kennesaw, GA 30144
📞 7709747494fax 7709749141
Mailing address
3450 Acworth Due West Rd Nw, Suite 310
Kennesaw, GA 301441001
📞 7709747494fax 7709749141

Authorized official

Kim E. Chastain, P.T.
Founder And Ceo
📞 7709747494

Individual providers at this organization

12 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and...
    GA license #3909 taxonomy 261QP2000X

Identifiers

TypeValueNotes
01 (GA) 393730 BLUE CROSS BLUE SHIELD

Practice context

Multi-provider organization. 12 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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