Independent Physical Therapy of Ga, LLC

Organization Active NPI Physical Therapist · Savannah, GA

NPI 1194267948 · NPPES record last updated Nov 10, 2016

Key facts

NPI
1194267948
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
INDEPENDENT PHYSICAL THERAPY OF GA, LLC
Practice address
1800 E Victory Dr
Ste 4a
Savannah, GA 31404-4100
Phone
(912) 236-7020
Fax
(912) 236-7030
NPI assigned
Nov 10, 2016
Organization subpart
No

Authorized official

Name
Kevin Johanneson
Title
VP Revenue Cycle
Phone
(423) 238-7217

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Independent Physical TH (161 organizations share this tax ID)

Locations

1800 E Victory Dr
Ste 4A
Savannah, GA 31404
Phone (912) 236-7020

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225100000X Yes
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225X00000X
Speech-Language Pathologist
Group: 193200000X MULTI-SPECIALTY GROUP
235Z00000X

Addresses

Primary practice location

1800 E Victory Dr
Ste 4a
Savannah, GA 31404-4100

Mailing address

8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217

Other names

  • BenchMark PT - Savannah Victory Other name

Other providers in Savannah, GA

All providers in Savannah, GA · Physical Therapist in Georgia

Sources for this page

Verify at the official NPI Registry.