JOSHUA MEDINA (PT, DPT) – Physical Therapist, NPI 1457227555

JOSHUA MEDINA (PT, DPT) is a healthcare provider. based in Kennesaw, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT018073 (GA). The NPI Number for JOSHUA MEDINA (PT, DPT) is 1457227555

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
JOSHUA MEDINA (PT, DPT)
NPI
1457227555
Phone
(678) 608-8962
Address
2986 KALEY DR NW
Enumeration Date
15 October 2025
Last Update Date
15 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6788809597
Graduation Year
2025 (1 year ago)
PAC ID
2264928316
Group Practice PAC ID
0941365100
Professional Enrollment ID
I20251229001810
Address ID
GA301896720WO4477XPKWY401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

2,871 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for JOSHUA MEDINA (PT, DPT)

  • 2986 KALEY DR NW

    KENNESAW, GA 301522677

    Phone: (678) 608-8962

    Type: Mailing

  • 6884 HICKORY FLAT HWY

    WOODSTOCK, GA 301883229

    Phone: (770) 704-8244

    Fax: (770) 704-8264

    Type: Location

  • 4477 Towne Lake Pkwy Ste 120

    Woodstock, GA 301896720

    Phone: (678) 880-9597

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251229001810IPhysical Therapist In Private PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30152)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941365100View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Occupational Therapist In Private PracticeNY
Physical Therapist In Private PracticeGA
Occupational Therapist In Private PracticeGA
-TN
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Qualified Speech Language PathologistMI

Reviews

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Frequently asked questions

What is JOSHUA MEDINA (PT, DPT)'s NPI number?
JOSHUA MEDINA (PT, DPT)'s NPI is 1457227555 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to JOSHUA MEDINA (PT, DPT)?
You should see JOSHUA MEDINA (PT, DPT) as active in CMS-hosted NPPES data.
What clinical focus is listed for JOSHUA MEDINA (PT, DPT)?
At a glance, JOSHUA MEDINA (PT, DPT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is JOSHUA MEDINA (PT, DPT) associated with Kennesaw?
Public fields place JOSHUA MEDINA (PT, DPT) around Kennesaw, Georgia. Always confirm the exact site before visiting.
Can I trust this NPI listing for JOSHUA MEDINA (PT, DPT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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