IndividualActive
Kelli Mclaren, PT DPT SCS CMTPT
NPI 1104478643 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Canton, GA
Provider details
- NPI number
- 1104478643
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- PT DPT SCS CMTPT
- Sex
- Female
- Sole proprietor
- No
- License
- PT010287 (GA)
Specialties & taxonomies
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081S0010XLicense PT010287 (GA)
Allopathic & Osteopathic Physicians
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
470 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone: (678) 773-9117
Street-level locationGet directions
Mailing address
4490 Indian Trace Dr
Alpharetta, GA 30004-2584
Registry dates
- Enumerated
- 2019-07-15
- Last updated
- 2019-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.