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

Mr. Ross Joseph Brakeville, DPT

Individual provider Pediatric Physical Therapist · NPI 1013997139

Mr. Ross Joseph Brakeville, DPT is a Physical Therapist in Private Practice in Kennesaw, Georgia. Qualified in 2007, 19 years ago. Practices with Peachtree Orthopaedic Clinic PA, a 132-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
19
Licensed in
GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

2300 Kinsale Pt
Kennesaw, GA 30152-6756
Phone: (678) 469-3007
Fax: (404) 350-9405
Show map & directions

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

Specialties & licences

Sports Physical Therapist (primary) Taxonomy 2251S0007X · Licence 002536 (GA)
Pediatric Physical Therapist Taxonomy 2251P0200X · Licence 002536 (GA)

Record details

NPI number1013997139
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJanuary 17, 2006
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Peachtree Orthopaedic Clinic Pa — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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