GENESIS SPORTS MEDICINE AND REHABILITATION, LLC
NPI 1861600520
Clinic/Center - Physical Therapy in Atlanta, GA

Active since May 18, 2007
3890 REDWINE RD SW, ATLANTA, GA 30331(404) 344-7880(404) 344-7881 Get Directions Write a Review

NPPES record last updated: July 22, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Genesis Sports Medicine And Rehabilitation, Llc NPPES

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

GENESIS SPORTS MEDICINE AND REHABILITATION, LLC (NPI 1861600520) is a healthcare organization registered as a physical therapy in Atlanta, Georgia and active in the NPI registry since May 2007. The organization lists Kurt Anthony Mcdonald, President, as its authorized official.

NPPES Registry Identity

NPI1861600520
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameGENESIS SPORTS MEDICINE AND REHABILITATION, LLC
Location Address3890 REDWINE RD SWAtlanta, GA 30331-5582
Mailing Address3890 Redwine Rd Sw, Suite 114Atlanta, GA 30331-5582 · (404) 344-7880 · Fax (404) 344-7881
Fax(404) 344-7881
Organization SubpartNo
Authorized OfficialKurt Anthony McdonaldPresident · (404) 290-1700
Enumeration DateMay 18, 2007
Last NPPES UpdateJuly 22, 2010
✔ NPI 1861600520 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 · PT006133
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.
3890 REDWINE RD SW, Atlanta, GA 30331

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Genesis Sports Medicine And Rehabilitation, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Genesis Sports Medicine And Rehabilitation, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Physical Therapist in Private Practice
NPI 1871853606
3890 REDWINE RD SW SUITE 114
Atlanta, GA 30331
(404) 344-7880
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1538299474
3890 REDWINE RD SW SUITE 114
Atlanta, GA 30331
(404) 344-7880
✔ Accepts MedicareSame address

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

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 Genesis Sports Medicine And Rehabilitation, LLC's NPI number?

The NPI number for Genesis Sports Medicine And Rehabilitation, LLC is 1861600520. It was assigned to this organization in the NPPES registry on May 18, 2007.

Where is Genesis Sports Medicine And Rehabilitation, LLC located?

Genesis Sports Medicine And Rehabilitation, LLC is located at 3890 Redwine Rd SW, Atlanta, GA 30331. The listed phone number is (404) 344-7880.

What is Genesis Sports Medicine And Rehabilitation, LLC's specialty?

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

Is Genesis Sports Medicine And Rehabilitation, LLC enrolled in Medicare?

Yes. Genesis Sports Medicine And Rehabilitation, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Genesis Sports Medicine And Rehabilitation, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Genesis Sports Medicine And Rehabilitation, LLC. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Genesis Sports Medicine And Rehabilitation, LLC was last updated on July 22, 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.