IndividualActive
Kelsey Nance-Judge, PTA
NPI 1457062713 · Physical Therapy Assistant · Conyers, GA
Provider details
- NPI number
- 1457062713
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- PTA004961 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
875 Flat Shoals Rd Se Ste 150
Conyers, GA 30094-6640
Phone: (770) 785-7669
Street-level locationGet directions
Mailing address
750 Winton Way
Atlanta, GA 30312-3818
Registry dates
- Enumerated
- 2022-12-07
- Last updated
- 2022-12-07
- Certified
- 2022-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.