ORTHOSPORT PHYSICAL THERAPY LLC
NPI 1174501100
Clinic/Center - Physical Therapy in Kennesaw, GA

Active since January 09, 2006
3450 ACWORTH DUE WEST RD NW, SUITE 310, KENNESAW, GA 30144(770) 974-7494(770) 974-9141 Get Directions Write a Review

NPPES record last updated: February 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Orthosport Physical Therapy Llc NPPES

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

ORTHOSPORT PHYSICAL THERAPY LLC (NPI 1174501100) is a healthcare organization registered as a physical therapy in Kennesaw, Georgia and active in the NPI registry since January 2006. The organization lists Kim E. Chastain, Founder And Ceo, as its authorized official.

NPPES Registry Identity

NPI1174501100
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameORTHOSPORT PHYSICAL THERAPY LLC
Location Address3450 ACWORTH DUE WEST RD NW, SUITE 310Kennesaw, GA 30144
Mailing Address3450 Acworth Due West Rd Nw, Suite 310Kennesaw, GA 30144-1001 · (770) 974-7494 · Fax (770) 974-9141
Fax(770) 974-9141
Organization SubpartNo
Authorized OfficialKim E. ChastainFounder And Ceo · (770) 974-7494
Enumeration DateJanuary 9, 2006
Last NPPES UpdateFebruary 7, 2008
NPI 1174501100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License Licensed in GA · 3909
Definition
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 widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
3450 ACWORTH DUE WEST RD NW, Kennesaw, GA 30144

Other Identifiers 3

Medicare ID-Type Unspecified116838GA · Medicare Provider Number
Other393730GA · Blue Cross Blue Shield
Medicare PINGRP8131GA

Other Providers at the Same Location NPPES 17

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

Obstetrics & Gynecology (Gynecology)
3450 ACWORTH DUE WEST RD NW, SUITE 380
KENNESAW, GA 30144
Physical Therapist
3450 ACWORTH DUE WEST RD NW, SUITE 310
KENNESAW, GA 30144
Surgery (Plastic and Reconstructive Surgery)
3450 ACWORTH DUE WEST RD NW, #200
KENNESAW, GA 30144
Podiatrist (Foot & Ankle Surgery)
3450 ACWORTH DUE WEST RD NW, SUITE 320
KENNESAW, GA 30144
Chiropractor
3450 ACWORTH DUE WEST RD NW, STE 330
KENNESAW, GA 30144
Physical Therapist
3450 ACWORTH DUE WEST RD NW, BLDG. 300, SUITE 310
KENNESAW, GA 30144
Physical Therapist
3450 ACWORTH DUE WEST RD NW
KENNESAW, GA 30144
Physical Therapist
3450 ACWORTH DUE WEST RD NW
KENNESAW, GA 30144

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 Orthosport Physical Therapy LLC's NPI number?

The NPI number for Orthosport Physical Therapy LLC is 1174501100. It was assigned to this organization in the NPPES registry on January 9, 2006.

Where is Orthosport Physical Therapy LLC located?

Orthosport Physical Therapy LLC is located at 3450 Acworth Due West Rd NW Suite 310, Kennesaw, GA 30144. The listed phone number is (770) 974-7494.

What is Orthosport Physical Therapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

When was this NPI record last updated?

The NPPES record for Orthosport Physical Therapy LLC was last updated on February 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.