Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Kendall E Wilde, DPT
Physical Therapist in Kennesaw, GA · enumerated 2016.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1417405499
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Registry record
Entity type Individual (Type 1)
Name Kendall E Wilde
Credential DPT
Sex Female
Practice address 1615 Ridenour Blvd Nw Ste 204, Kennesaw, GA, 30152
Phone (770) 580-8070
Fax (770) 285-8751
Enumeration date Sep 19, 2016
Last updated in NPPES Oct 20, 2017
Taxonomy & licenses
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT013169 (GA) Primary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 12414 (AZ) Secondary
DPT · Doctor of Physical Therapy: A physical therapist holding the clinical doctorate now standard for the profession.
About the DPT credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT013169 | Other | GA | PHYSICAL THERAPY LICENSE |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is NPI 1417405499 active?
Yes, as of the latest NPPES snapshot, NPI 1417405499 is active (record last updated 2017-10-20).
How do I verify Kendall Wilde's NPI record?
Cross-check NPI 1417405499 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Other providers at this practice address
Browse all → Anel Durmisevic Physical Therapist · Kennesaw, GA NPI 1295251775 Marc Herbert Physical Therapist · Kennesaw, GA NPI 1912426875 Kelly Hardesty Physical Therapist · Kennesaw, GA NPI 1669953238 Kaitlyn Elliott Physical Therapist · Kennesaw, GA NPI 1902453582 Tyler Weyers Physical Therapist · Kennesaw, GA NPI 1467158485 Mark Ogletree Physical Therapist · Kennesaw, GA NPI 1568154854
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-10-20.