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MR. ROSS JOSEPH BRAKEVILLE D.P.T.
NPI 1013997139
Physical Therapist - Sports in Kennesaw, GA

Active since January 17, 2006Accepts Medicare Assignment
2300 KINSALE POINT, KENNESAW, GA 30152(678) 469-3007(404) 350-9405 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Ross Joseph Brakeville D.p.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ROSS JOSEPH BRAKEVILLE D.P.T. (NPI 1013997139) is an individual sports provider in Kennesaw, Georgia, licensed in Georgia (002536) and active in the NPI registry since January 2006. He is a graduate of Other (2007).

NPPES Registry Identity

NPI1013997139
Entity TypeIndividualMale
Primary Taxonomy2251S0007X
Provider Legal NameMR. ROSS JOSEPH BRAKEVILLECredential: D.P.T.
Location Address2300 KINSALE POINTKennesaw, GA 30152-6756
Mailing Address2300 Kinsale PointKennesaw, GA 30152-6756 · (678) 469-3007 · Fax (404) 350-9405
Phone(678) 469-3007
Fax(404) 350-9405
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJanuary 17, 2006
Last NPPES UpdateJune 13, 2024
NPPES CertifiedJune 13, 2024
✔ NPI 1013997139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
License✔ Licensed in GA · 002536
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
Also ListedPhysical Therapist · PediatricsTaxonomy 2251P0200X · License 002536 (GA)
2300 KINSALE POINT, Kennesaw, GA 30152
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Ross Joseph Brakeville D.p.t. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052369360
PECOS Enrollment IDI20050105000087

Medicare Billing Reassignments

2

Medicare enrollment records show Ross Brakeville reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Peachtree Orthopaedic Clinic P.A.
17 mi
Physical Therapist
5505 PEACHTREE DUNWOODY RD NE, SUITE 250
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Peachtree Orthopaedic Clinic PA
  • 119 clinicians in this Medicare group
NPI 1306022264 (404) 425-1577
Georgia Physical Therapy & Sports Medicine Center
25 mi
Physical Therapist
6495 SHILOH RD, SUITE 100
Alpharetta, GA 30005
  • Reassigned Medicare billing, Georgia enrollment
  • 7 clinicians in this Medicare group
NPI 1790898617 (770) 888-3011

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEORGIA SPORTS MEDICINE SPECIALISTS
Clinic/Center (Physical Therapy)
2300 KINSALE POINT
KENNESAW, GA 30152
Cobb County (678) 469-3007

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ross Brakeville's NPI number?

The NPI number for Ross Brakeville is 1013997139. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Ross Brakeville located?

Ross Brakeville practices at 2300 Kinsale Point, Kennesaw, GA 30152. The listed phone number is (678) 469-3007.

What is Ross Brakeville's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

Is Ross Brakeville enrolled in Medicare?

Yes. Ross Brakeville is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ross Brakeville's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ross Brakeville reassigns Medicare benefits to 2 organizations: Peachtree Orthopaedic Clinic P.A. (Atlanta, GA) and Georgia Physical Therapy & Sports Medicine Center (Alpharetta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ross Brakeville's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ross Brakeville was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.