IndividualActive
Kevin Phillips, PTA
NPI 1457076135 · Physical Therapy Assistant · Atlanta, GA
Provider details
- NPI number
- 1457076135
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- PTA004906 (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
3286 Buckeye Rd
Atlanta, GA 30341-4228
Phone: (404) 267-5566
Street-level locationGet directions
Mailing address
4322 Inverness Rd
Duluth, GA 30096-6293
Registry dates
- Enumerated
- 2022-10-05
- Last updated
- 2022-10-05
- Certified
- 2022-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.