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

Wistar Cooke Kennedy

Individual provider Physical Therapist · NPI 1912597089

Wistar Cooke Kennedy is a Physical Therapist in Private Practice in Atlanta, Georgia. Graduated from University of North Carolina at Chapel Hill School of Medicine in 1992, 34 years ago. Practices with Peachtree Orthopaedic Clinic PA, a 132-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
34
Trained at
University of North Carolina at Chapel Hill School of Medicine
Licensed in
GA
In the registry since
2021
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Practice location Address checks out

2001 Peachtree Rd NE Ste 705
Atlanta, GA 30309-1476
Phone: (404) 355-0743
Fax: (855) 270-3558
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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 PT006056 (GA)

Record details

NPI number1912597089
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 22, 2021
Last updated in NPPESJanuary 22, 2021
Certification dateJanuary 21, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Peachtree Orthopaedic Clinic Pa — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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