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RENEE R MADDUX PT
NPI 1063572808
Physical Therapist - Pediatrics in Marietta, GA

Active since December 11, 2006
4005 CANTON RD, MARIETTA, GA 30066(770) 728-8833(678) 668-7469 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Renee R Maddux Pt NPPES

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

RENEE R MADDUX PT (NPI 1063572808) is an individual pediatrics provider in Marietta, Georgia, licensed in Georgia (6052) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1063572808
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameRENEE R MADDUXCredential: PT
Location Address4005 CANTON RDMarietta, GA 30066-2739
Mailing Address4005 Canton RdMarietta, GA 30066-2739 · (770) 728-8833 · Fax (678) 668-7469
Phone(770) 728-8833
Fax(678) 668-7469
Sole ProprietorNo
Enumeration DateDecember 11, 2006
Last NPPES UpdateMarch 18, 2025
NPPES CertifiedMarch 18, 2025
✔ NPI 1063572808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in GA · 6052
Definition
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 development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
Also ListedPhysical TherapistTaxonomy 225100000X · License 6052 (GA)
4005 CANTON RD, Marietta, GA 30066
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Other Identifiers 3

Other321993GA · Wellcare
Other10040447GA · Amerigroup
Other6052GA · Physical Therapy License

Other Providers at the Same Location NPPES 2

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

BIG GYM THERAPY, LLC
Physical Therapist (Pediatrics)
4005 CANTON RD
MARIETTA, GA 30066
Cobb County (770) 728-8833
KELLEY KYBURZ MITCHELL PT
Physical Therapist (Pediatrics)
4005 CANTON RD
MARIETTA, GA 30066
Cobb County (770) 728-8833

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 Renee Maddux's NPI number?

The NPI number for Renee Maddux is 1063572808. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Renee Maddux located?

Renee Maddux practices at 4005 Canton Rd, Marietta, GA 30066. The listed phone number is (770) 728-8833.

What is Renee Maddux's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Renee Maddux was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.