OrganizationActive
Orthosport Physical Therapy LLC
NPI 1174501100 · Physical Therapy Clinic/Center · Kennesaw, GA
Provider details
- NPI number
- 1174501100
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kim Chastain, Founder and Ceo(770) 974-7494
- License
- 3909 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
3450 Acworth Due West Rd Nw
Suite 310
Kennesaw, GA 30144
Phone: (770) 974-7494
Fax: (770) 974-9141
Street-level locationGet directions
Mailing address
3450 Acworth Due West Rd Nw
Kennesaw, GA 30144-1001
Registry dates
- Enumerated
- 2006-01-09
- Last updated
- 2008-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.