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Orthosport Physical Therapy LLC

Physical Therapy Clinic/Center in Kennesaw, GA · enumerated 2006 · authorized official Kim Chastain, Founder and Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174501100

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Registry record

Entity type Organization (Type 2)
Legal business name Orthosport Physical Therapy LLC
Practice address 3450 Acworth Due West Rd Nw, Suite 310, Kennesaw, GA, 30144
Fax (770) 974-9141
Enumeration date Jan 9, 2006
Last updated in NPPES Feb 7, 2008

Taxonomy & classification

261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities · License 3909 (GA) Primary

Authorized official

Name Kim Chastain
Title Founder and Ceo

Other identifiers

Identifier Type State Issuer
393730 Other GA BLUE CROSS BLUE SHIELD

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.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Orthosport Physical Therapy LLC?
Orthosport Physical Therapy LLC is registered in NPPES as a Physical Therapy Clinic/Center (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-02-07.