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

Kimberly Stanford, PT, DPT, OCS

Individual provider Physical Therapist · NPI 1568096014

Kimberly Stanford, PT, DPT, OCS is a Physical Therapist in Private Practice in Lawrenceville, Georgia. Qualified in 2017, 9 years ago. Practices with Trident Physical Therapy, LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

248 E Crogan St Ste 5
Lawrenceville, GA 30046-5069
Phone: (770) 910-7227
Fax: (470) 221-1514
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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 014919 (GA)

Record details

NPI number1568096014
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT , OCS
Sole proprietorYes
NPI enumeratedFebruary 24, 2020
Last updated in NPPESJuly 14, 2022
Certification dateJuly 14, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Trident Physical Therapy, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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