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

Ortho Sport & Spine Physicians Kennesaw

Organization Physical Medicine & Rehabilitation Physician · NPI 1164046132

Ortho Sport & Spine Physicians Kennesaw is a Physical Medicine & Rehabilitation Physician in Kennesaw, Georgia. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

3900 Frey Rd NW Ste 106
Kennesaw, GA 30144-5424
Phone: (678) 752-7246
Show map & directions

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

Additional practice locations (1)

  • 4255 Wade Green Rd Nw, Kennesaw, GA 30144-1762 — (678) 752-7246

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X
Pain Clinic/Center Taxonomy 261QP3300X

Record details

NPI number1164046132
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Sims — Credentialing Manager · (678) 752-7246
NPI enumeratedJune 4, 2020
Last updated in NPPESJune 22, 2023
Certification dateJune 22, 2023
Mailing address5788 Roswell Rd, Atlanta, GA 30328-4904

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