Independent Physical Therapy of Ga, LLC
Organization Active NPI Physical Therapist · Jefferson, GA
NPI 1407080740 · NPPES record last updated Oct 19, 2017
Key facts
- NPI
- 1407080740
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- INDEPENDENT PHYSICAL THERAPY OF GA, LLC
- Practice address
- 1689 Old Pendergrass Rd Ste 300
Jefferson, GA 30549-2716 - Phone
- (706) 387-0212
- Fax
- (706) 387-0213
- NPI assigned
- May 14, 2009
- Organization subpart
- No
Authorized official
- Name
- Kevin Johanneson
- Title
- VP Revenue Cycle
- Phone
- (423) 238-8923
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X |
Addresses
Primary practice location
1689 Old Pendergrass Rd Ste 300
Jefferson, GA 30549-2716
Mailing address
6397 Lee Hwy Ste 300
Chattanooga, TN 37421-2564
Phone (423) 238-7217
Other names
- BENCHMARK PT
Other providers in Jefferson, GA
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- Kristin Hines
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- Holly Hughes
- Georgia Cameron Hutchins
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- Integrity Counseling and Personal Development LLC
- Dana Buck Irwin
- Jackson County B O C
- Jackson County Health Department
All providers in Jefferson, 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 19, 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.