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

Orthosport Physical Therapy LLC

Organization Physical Therapy Clinic/Center · NPI 1174501100

Orthosport Physical Therapy LLC is a Physical Therapy Clinic/Center in Kennesaw, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
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

3450 Acworth Due West Rd NW Ste 310
Kennesaw, GA 30144
Phone: (770) 974-7494
Fax: (770) 974-9141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence 3909 (GA)

Record details

NPI number1174501100
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Chastain — Founder And Ceo · (770) 974-7494
NPI enumeratedJanuary 9, 2006
Last updated in NPPESFebruary 7, 2008
Mailing address3450 Acworth Due West Rd Nw, Suite 310, Kennesaw, GA 30144-1001

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