IndividualActive
Phillip Kellogg, DPT
NPI 1124675301 · Physical Therapist · Decatur, GA
Provider details
- NPI number
- 1124675301
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- PT014206 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(65/100 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
613 Church St
Decatur, GA 30030-2517
Phone: (607) 220-3524
Street-level locationGet directions
Mailing address
245 E Trinity Pl Unit 1419
Decatur, GA 30030-3493
Registry dates
- Enumerated
- 2019-08-22
- Last updated
- 2019-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.