KATHRYN PRUITT (DPT) – Physical Therapist, NPI 1528642121

KATHRYN PRUITT (DPT) is a healthcare provider. based in Woodstock, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. The NPI Number for KATHRYN PRUITT (DPT) is 1528642121

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN PRUITT (DPT)
NPI
1528642121
Phone
(770) 704-8244
Address
6884 HICKORY FLAT HWY
Enumeration Date
10 May 2021
Last Update Date
10 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7707048244
Graduation Year
2021 (5 years ago)
PAC ID
9537569199
Group Practice PAC ID
0941365100
Professional Enrollment ID
I20210618000573
Address ID
GA301883229WO6884XHWYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for KATHRYN PRUITT (DPT)

  • 6884 HICKORY FLAT HWY

    WOODSTOCK, GA 301883229

    Phone: (770) 704-8244

    Fax: (770) 704-8264

    Mailing address matches the actual address.

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: 2021-06-18

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
I20210618000573IPhysical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,381139$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,025126$0
97530Therapy procedure using functional activities845100$0
97140Therapy procedure using manual technique, each 15 minutes47787$0
97535Training for self-care or home management, each 15 minutes11783$0
View full utilization report →

Insurance plans in this area (ZIP 30188)

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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

Does KATHRYN PRUITT (DPT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KATHRYN PRUITT (DPT) uses 1528642121.
Does CMS list KATHRYN PRUITT (DPT) as active?
Yes — KATHRYN PRUITT (DPT) is active in the NPI listing used on this page.
What is KATHRYN PRUITT (DPT)'s primary classification?
Physical Therapist is the headline specialty for KATHRYN PRUITT (DPT) here. Clinical services aligned with this taxonomy classification.
What area does KATHRYN PRUITT (DPT) serve?
KATHRYN PRUITT (DPT)'s listing highlights Woodstock, Georgia; more addresses can appear in NPPES.
Why does KATHRYN PRUITT (DPT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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