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

Kelli Block

Individual provider Physical Therapist · NPI 1841918372

Kelli Block is a Physical Therapist in Private Practice in Dacula, Georgia. Qualified in 2022, 4 years ago. Practices with Soar Physical Therapy, Inc, a 19-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2022
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Practice location Address checks out

2300 Liam Ave Ste 104
Dacula, GA 30019-2265
Phone: (470) 294-0052
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT016161 (GA)

Record details

NPI number1841918372
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 19, 2022
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024
Mailing address236 Candler Way, Williamson, GA 30292-3284

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Soar Physical Therapy, Inc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dacula