BRADFORD JAMAL KENNEBREW PTA
NPI 1811623242
Physical Therapy Assistant in Stone Mountain, GA

Active since July 27, 2022
1227 ROCKBRIDGE RD STE 402, STONE MOUNTAIN, GA 30087(770) 925-9210 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 29, 2022, Jul 27, 2022 (2 updates tracked since 2022).

About Bradford Jamal Kennebrew Pta NPPES

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

BRADFORD JAMAL KENNEBREW PTA (NPI 1811623242) is an individual physical therapy assistant in Stone Mountain, Georgia, licensed in Georgia (PTA003995) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1811623242
Entity TypeIndividualMale
Primary Taxonomy225200000X
Provider Legal NameBRADFORD JAMAL KENNEBREWCredential: PTA
Location Address1227 ROCKBRIDGE RD STE 402Stone Mountain, GA 30087-3006
Mailing Address413 Ocean AveColumbus, GA 31907-6067 · (706) 325-3988
Sole ProprietorNo
Enumeration DateJuly 27, 2022
Last NPPES UpdateAugust 29, 20222 updates tracked since enumeration
NPPES CertifiedAugust 29, 2022
NPI 1811623242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225200000X
License Licensed in GA · PTA003995
Definition

(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

1227 ROCKBRIDGE RD STE 402, Stone Mountain, GA 30087

Other Providers at the Same Location NPPES 4

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

Physical Therapist
1227 ROCKBRIDGE RD STE 402
STONE MOUNTAIN, GA 30087
Physical Therapist
1227 ROCKBRIDGE RD STE 402
STONE MOUNTAIN, GA 30087
Physical Therapist
1227 ROCKBRIDGE RD STE 402
STONE MOUNTAIN, GA 30087
Physical Therapist
1227 ROCKBRIDGE RD STE 402
STONE MOUNTAIN, GA 30087

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811623242, enumerated as an "individual" on July 27, 2022.

The provider is located at 1227 ROCKBRIDGE RD STE 402 STONE MOUNTAIN, GA 30087 and the phone number is (770) 925-9210.

Physical Therapy Assistant with taxonomy code 225200000X.