NPPES file of Aug 9, 2026

Kendall E. Wilde, DPT

Physical Therapist · Kennesaw, GA

Kendall E. Wilde, DPT is a physical therapist with a practice address in Kennesaw, Georgia, and NPI 1417405499, issued on Sep 19, 2016. Check the license (Georgia PT013169, as entered in NPPES) with the Georgia board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1417405499
Name
Kendall E. Wilde
Credential
DPT
Primary taxonomy
Physical Therapist 225100000X
License numbers
PT013169 GA
12414 AZ
Self-reported in NPPES; status is on the state search
Practice location
1615 Ridenour Blvd NW Ste 204, Kennesaw, GA 30152
Phone
(770) 580-8070
Enumerated
Sep 19, 2016
Record last updated
Oct 20, 2017 (not updated in 9 years: call before relying on the address or phone)
Fax
(770) 285-8751
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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8 nearest physical therapist records → All 6,579 in Georgia → Look up another NPI →

Also registered at 1615 Ridenour Blvd NW Ste 204

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Anel DurmisevicPhysical Therapist1295251775
  2. Kaitlyn Elliott, PT, DPTPhysical Therapist1902453582
  3. Kelly HardestyPhysical Therapist1669953238
  4. Marc HerbertPhysical Therapist1912426875
  5. Mark Ogletree, PT, DPTPhysical Therapist1568154854
  6. Tyler WeyersPhysical Therapist1467158485

Verify Kendall E. Wilde in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Georgia board licenses this profession
    Search for license PT013169    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Georgia license search

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Kendall E. Wilde among 6,579 physical therapist records in Georgia

Kendall E. Wilde, DPT is one of 6,579 physical therapist records with a practice address in Georgia. 33% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2016, is newer than 50% of them.

  • NPI issued2016 · 50% of these records are older, 46% newer
  • In a Medicare fileNo · 33% of these records are
  • In the CMS Doctors and Clinicians fileNo · 35% of these records are
  • Record last updated2017 · 58% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

86 physical therapist records list a practice address in Kennesaw

They are 86 of the 1,723 NPPES records with a practice address in Kennesaw, and 6,579 physical therapist records in Georgia. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

All 6,579 in Georgia → Every provider in Kennesaw → Physical Therapist nationwide →

The 8 physical therapist records with the nearest ZIP codes

  1. Anel DurmisevicKennesaw, GA 301521295251775
  2. Kaitlyn Elliott, PT, DPTKennesaw, GA 301521902453582
  3. Kristin Handy, PT, DPTKennesaw, GA 301521013563436
  4. Kelly HardestyKennesaw, GA 301521669953238
  5. Marc HerbertKennesaw, GA 301521912426875
  6. Gunnar MendiolaKennesaw, GA 301521285100321
  7. Jenny Moore, PTKennesaw, GA 301521386250033
  8. Brandie Noble, MSPTKennesaw, GA 301521528006608

Common questions

What is Kendall E. Wilde, DPT's NPI number?

Kendall E. Wilde, DPT's National Provider Identifier (NPI) is 1417405499, issued on Sep 19, 2016. An NPI identifies a provider in billing; it is not a license.

Where is Kendall E. Wilde, DPT located?

The NPPES record lists a practice address at 1615 Ridenour Blvd NW Ste 204, Kennesaw, GA, 30152. Phone: (770) 580-8070. Providers update this record themselves, so call before visiting.

How can I verify Kendall E. Wilde, DPT's license?

NPPES lists Georgia license number PT013169, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.