Independent Physical Therapy of Ga LLC
Organization Active NPI Physical Therapist · Young Harris, GA
NPI 1255435616 · NPPES record last updated Oct 3, 2017
Key facts
- NPI
- 1255435616
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- INDEPENDENT PHYSICAL THERAPY OF GA LLC
- Practice address
- 1615 State Highway 17 Ste 9
Young Harris, GA 30582-1880 - Phone
- (706) 896-2771
- Fax
- (706) 896-2772
- NPI assigned
- Sep 7, 2006
- Reactivated
- May 27, 2008
- Organization subpart
- No
Authorized official
- Name
- Kevin Johanneson
- Title
- VP Revenue Cycle
- Phone
- (423) 238-7217
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Independent Physical TH
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Occupational Therapist |
225X00000X |
Addresses
Primary practice location
1615 State Highway 17 Ste 9
Young Harris, GA 30582-1880
Mailing address
8823 Production Lane
Ooltewah, TN 37363-6511
Phone (423) 238-7217
Other names
- Benchmark PT
Other providers in Young Harris, GA
- Georgia Mountains Community Services
- Brittany Nicole Harkins
- Hailey Haveck
- Laneau Hayes
- Hiawassee Counseling Clinic LLC
- KB Health Technology, Inc.
- Sharon Kestin
- Tyler David Ledford
- Gregory H Lego
- Lincare Inc.
All providers in Young Harris, GA · Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.