Kingdom Physical Therapy and Wellness LLC
NPI 1144110396 · Physical Therapy Clinic/Center · Fort Valley, GA
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kingdom Physical Therapy and Wellness LLC is a Physical Therapy Clinic/Center organization in Fort Valley, GA (NPI 1144110396).
Provider details
- NPI number
- 1144110396
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Seth Johnson, Owner(478) 955-6956
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
Mailing address
Registry dates
- Enumerated
- 2025-07-08
- Last updated
- 2025-07-21
- Certified
- 2025-07-21
Frequently asked questions
- What is Kingdom Physical Therapy and Wellness LLC's NPI number?
- Kingdom Physical Therapy and Wellness LLC's National Provider Identifier (NPI) is 1144110396, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kingdom Physical Therapy and Wellness LLC?
- Kingdom Physical Therapy and Wellness LLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Kingdom Physical Therapy and Wellness LLC located?
- Kingdom Physical Therapy and Wellness LLC's practice location on file with NPPES is 1410 Gassett Road N, Fort Valley, GA 31030.
- What is Kingdom Physical Therapy and Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Kingdom Physical Therapy and Wellness LLC is (478) 955-6956.
- Does Kingdom Physical Therapy and Wellness LLC accept Medicare?
- Kingdom Physical Therapy and Wellness LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kingdom Physical Therapy and Wellness LLC?
- The authorized official listed on Kingdom Physical Therapy and Wellness LLC's NPPES record is Seth Johnson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kingdom Physical Therapy and Wellness LLC's NPI active?
- Yes — Kingdom Physical Therapy and Wellness LLC's NPI (1144110396) is active in the NPPES registry as of the last update on 2025-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.