KIMBERLEY A. MAHONEY PT
NPI 1245293976
Physical Therapist - Orthopedic in Roswell, GA

Active since April 12, 2006
1285 HEMBREE RD, SUITE 200-D, ROSWELL, GA 30076(770) 772-5540(770) 772-5541 Get Directions Write a Review

NPPES record last updated: March 17, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kimberley A. Mahoney Pt NPPES

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

KIMBERLEY A. MAHONEY PT (NPI 1245293976) is an individual orthopedic provider in Roswell, Georgia, licensed in Georgia (PT000542) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1245293976
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameKIMBERLEY A. MAHONEYCredential: PT
Location Address1285 HEMBREE RD, SUITE 200-DRoswell, GA 30076-5720
Mailing Address1285 Hembree Rd, Suite 200-dRoswell, GA 30076-5720 · (770) 772-5540 · Fax (770) 772-5541
Fax(770) 772-5541
Sole ProprietorNo
Enumeration DateApril 12, 2006
Last NPPES UpdateMarch 17, 2010
✔ NPI 1245293976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in GA · PT000542
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
1285 HEMBREE RD, Roswell, GA 30076

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberley A. Mahoney Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kimberley Mahoney reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopaedic Surgery
5671 PEACHTREE DUNWOODY RD STE 900
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 223 clinicians in this Medicare group

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 20

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

Pediatrics
1285 HEMBREE RD, SUITE 100
ROSWELL, GA 30076
Pediatrics (Adolescent Medicine)
1285 HEMBREE RD
ROSWELL, GA 30076
Pediatrics (Adolescent Medicine)
1285 HEMBREE RD, STE 100
ROSWELL, GA 30076
Occupational Therapist (Hand)
1285 HEMBREE RD, SUITE 200D
ROSWELL, GA 30076
Pediatrics
1285 HEMBREE RD, SUITE 100
ROSWELL, GA 30076
Orthopaedic Surgery (Hand Surgery)
1285 HEMBREE RD, SUITE 200-A
ROSWELL, GA 30076
Orthopaedic Surgery
1285 HEMBREE RD, SUITE 200-A
ROSWELL, GA 30076
Physical Medicine & Rehabilitation
1285 HEMBREE RD, SUITE 200-A
ROSWELL, GA 30076

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 Kimberley Mahoney's NPI number?

The NPI number for Kimberley Mahoney is 1245293976. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Where is Kimberley Mahoney located?

Kimberley Mahoney practices at 1285 Hembree Rd Suite 200-D, Roswell, GA 30076. The listed phone number is (770) 772-5540.

What is Kimberley Mahoney's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Kimberley Mahoney enrolled in Medicare?

Yes. Kimberley Mahoney is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberley Mahoney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberley Mahoney reassigns Medicare benefits to Resurgens, LLC (Atlanta, GA). The 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 Kimberley Mahoney'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 Kimberley Mahoney was last updated on March 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.