KATHY LYNN KINNISON (P.T.) – Physical Therapist, NPI 1679857619

KATHY LYNN KINNISON (P.T.) is a healthcare provider. based in Ellijay, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. PTH6903 (AL). The NPI Number for KATHY LYNN KINNISON (P.T.) is 1679857619

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
KATHY LYNN KINNISON (P.T.)
NPI
1679857619
Phone
(256) 386-2649
Address
943 PROGRESS RD
Enumeration Date
10 October 2011
Last Update Date
23 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5403726737
Graduation Year
2013 (13 years ago)
PAC ID
0244407997
Group Practice PAC ID
6305742610
Professional Enrollment ID
I20120119000927
Address ID
VA224013377FR501XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:14State licenses:2Digital endpointsOther names

2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for KATHY LYNN KINNISON (P.T.)

  • 943 PROGRESS RD

    ELLIJAY, GA 305408800

    Phone: (256) 386-2649

    Type: Mailing

  • 203 AVALON AVE

    SUITE 340

    MUSCLE SHOALS, AL 356612869

    Phone: (256) 386-2649

    Fax: (256) 386-1143

    Type: Mailing

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: 2013-10-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20120119000927IPhysical Therapist In Private PracticeVATBD
I20131029000703IPhysical Therapist In Private PracticeALTBD

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 minutes92052$0
97140Therapy procedure using manual technique, each 15 minutes45247$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes26133$0
97016Application of blood vessel compression device17421$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care11715$0
View full utilization report →

Insurance plans in this area (ZIP 30540)

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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: 6305742610View full group profile
NameSpecialtyState
Orthopedic Surgery, Sports MedicineVA
Orthopedic SurgeryVA
Physical Therapist In Private PracticeVA
-VA
Physician AssistantVA
Physical Therapist In Private PracticeFL
Physician AssistantVA
Physician AssistantVA
-VA
Physical Therapist In Private PracticeVA

Reviews

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Frequently asked questions

What is the standard ID for KATHY LYNN KINNISON (P.T.) in the U.S.?
In the U.S., KATHY LYNN KINNISON (P.T.) is identified by NPI 1679857619.
Should I treat KATHY LYNN KINNISON (P.T.) as an active provider?
Patients and plans typically see KATHY LYNN KINNISON (P.T.) as active in the national extract.
Which specialty label fits KATHY LYNN KINNISON (P.T.)?
NPPES ties KATHY LYNN KINNISON (P.T.) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit KATHY LYNN KINNISON (P.T.) in Ellijay, Georgia?
For routing, start with Ellijay, Georgia for KATHY LYNN KINNISON (P.T.), then verify phone and hours locally.
Can I export KATHY LYNN KINNISON (P.T.)'s record?
You can download the official NPPES record; we summarize key fields for readability.