Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ortho Kinetic Spine and Rehab, LLC

Organization Multi-Specialty Clinic/Center · NPI 1104552272

Ortho Kinetic Spine and Rehab, LLC is a Multi-Specialty Clinic/Center in Marietta, Georgia. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2000 Powers Ferry Rd SE Ste 2206
Marietta, GA 30067-1203
Phone: (470) 394-0111
Fax: (470) 443-1707
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1104552272
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Akiliah Johnson — Owner · (202) 277-2255
NPI enumeratedJuly 29, 2022
Last updated in NPPESJuly 29, 2022
Certification dateJuly 29, 2022
Mailing address1089 Waterbury Close, Powder Springs, GA 30127-4942

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