CORE INDEPENDENCE LLC – Physical Therapist, NPI 1922425396

CORE INDEPENDENCE LLC is a healthcare provider. based in Kennesaw, Georgia. specializing in Physical Therapist. The organization holds a License No. OT005289 (GA). The NPI Number for CORE INDEPENDENCE LLC is 1922425396

Main info

Organization
Name
CORE INDEPENDENCE LLC
NPI
1922425396
Phone
(678) 206-6201
Address
4150 GEORGE BUSBEE PKWY NW
Authorized Official
MRS. JESSICA NAGY OWNER OT
Enumeration Date
24 March 2014
Last Update Date
28 April 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:12State licenses:2Digital endpointsOther names

Provider Addresses for CORE INDEPENDENCE LLC

  • 4150 GEORGE BUSBEE PKWY NW

    KENNESAW, GA 301440800

    Phone: (678) 206-6201

    Type: Location

  • 7220 SCOTSHIRE WAY

    CUMMING, GA 300407396

    Phone: (954) 816-3130

    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: 2014-09-29

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
O20140929000676OPhysical/Occupational Therapy Group 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

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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 30144)

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Reviews

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Frequently asked questions

Is CORE INDEPENDENCE LLC listed with a National Provider Identifier?
Yes — CORE INDEPENDENCE LLC has NPI 1922425396 on file in the registry.
Is CORE INDEPENDENCE LLC still an active registrant?
CORE INDEPENDENCE LLC carries an active NPI according to the public dataset.
What area of care is associated with CORE INDEPENDENCE LLC?
CORE INDEPENDENCE LLC's record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for CORE INDEPENDENCE LLC?
Travel planning: use Kennesaw, Georgia as the reference point for CORE INDEPENDENCE LLC, then confirm.
Can I trust this NPI listing for CORE INDEPENDENCE LLC?
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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