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

Kaitlin Tucker, DPT

Individual provider Physical Therapist · NPI 1417745589

Kaitlin Tucker, DPT is a Physical Therapist in Private Practice in Lagrange, Georgia. Qualified in 2025, 1 year ago. Practices with Hughston Clinic PC, a 112-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2025
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

107 Calumet Center Rd
Lagrange, GA 30241-6705
Phone: (706) 882-2940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6262 Veterans Pkwy, Columbus, GA 31909-3540 — (706) 324-6661

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT017918 (GA)

Record details

NPI number1417745589
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials DPT
Sole proprietorNo
NPI enumeratedApril 29, 2025
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Hughston Clinic Pc — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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