Independent Physical Therapy of Ga, LLC
Organization Active NPI Physical Therapist · Gainesville, GA
NPI 1295242543 · NPPES record last updated Jan 9, 2018
Key facts
- NPI
- 1295242543
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- INDEPENDENT PHYSICAL THERAPY OF GA, LLC
- Practice address
- 885 Dawsonville Hwy Ste 1140
Gainesville, GA 30501-2642 - Phone
- (678) 943-8691
- Fax
- (678) 943-8709
- NPI assigned
- Jan 9, 2018
- Organization subpart
- No
Authorized official
- Name
- Kevin Johanneson
- Title
- VP Revenue Cycle
- Phone
- (423) 238-3220
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 | |||
| Speech-Language Pathologist |
235Z00000X |
Addresses
Primary practice location
885 Dawsonville Hwy Ste 1140
Gainesville, GA 30501-2642
Mailing address
6397 Lee Hwy Ste 300
Chattanooga, TN 37421-2564
Other providers in Gainesville, GA
- Samuel Ighodaro
- Elizabeth Illing
- Jawad Ilyas
- Independent Physical Therapy of Ga LLC
- Independent Physical Therapy of Ga, LLC
- Independent Physical Therapy of Georgia, LLC
- Indiglow Counseling
- Craig Mitchell Inglis
- Lauren Keith Ingram
- Mario Deaundra Ingram
All providers in Gainesville, 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 Jan 9, 2018. 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.