Kendall Wilde, DPT
NPI 1417405499 · Physical Therapist · Kennesaw, GA
Kendall Wilde, DPT is a Physical Therapist provider in Kennesaw, GA (NPI 1417405499).
Provider details
- NPI number
- 1417405499
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- License
- PT013169 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
Mailing address
Registry dates
- Enumerated
- 2016-09-19
- Last updated
- 2017-10-20
Frequently asked questions
- What is Kendall Wilde's NPI number?
- Kendall Wilde's National Provider Identifier (NPI) is 1417405499, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kendall Wilde's specialty?
- Kendall Wilde is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kendall Wilde located?
- Kendall Wilde's practice location on file with NPPES is 1615 Ridenour Blvd Nw Ste 204, Kennesaw, GA 30152-4464.
- What is Kendall Wilde's phone number?
- The practice phone number listed in the NPPES registry for Kendall Wilde is (770) 580-8070.
- Is Kendall Wilde's NPI active?
- Yes — Kendall Wilde's NPI (1417405499) is active in the NPPES registry as of the last update on 2017-10-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.