P Praxis·MD
● Active Type 1 · Individual

Kelley Kyburz Mitchell, PT

Physical Therapist·Marietta, GA· NPI 1861551640 · Enumerated 2006 · 19 years on NPI
Mitchell is 1 of 23 physical therapist providers in Marietta and 1 of 278 in Georgia.
NPI age
19 years
Enumerated 2006-12-07
Primary specialty
Physical Therapist
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-03-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 278 active physical therapist providers in Georgia.

NPI age
19 years
↑ 4 yr above median (15 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
1
In the 23% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-12Enumerated in NPPES
2006 2026

Where they practice

Practice location
4005 Canton Rd
Marietta, GA 300662739
📞 7707288833fax 6786687469
Mailing address
4005 Canton Rd
Marietta, GA 300662739
📞 7707288833fax 6786687469

Specialties

  • Physical Therapist Primary
    A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic...
    GA license #5199 taxonomy 2251P0200X
  • Physical Therapist
    Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
    GA license #5199 taxonomy 225100000X

Identifiers

TypeValueNotes
01 (GA) 5199 PHYSICAL THERAPY LICENSE

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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