Independent Physical Therapy of Georgia, LLC
Organization Active NPI Physical Therapy Clinic/Center · Atlanta, GA
NPI 1457511289 · NPPES record last updated Dec 6, 2016
Key facts
- NPI
- 1457511289
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC
- Practice address
- 800 Peachtree St NE
Ste E2
Atlanta, GA 30308-1245 - Phone
- (404) 523-7709
- Fax
- (404) 523-1065
- NPI assigned
- Jun 16, 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 |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Yes | ||
| Rehabilitation Clinic/Center | 261QR0400X |
Addresses
Primary practice location
800 Peachtree St NE
Ste E2
Atlanta, GA 30308-1245
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CK9205 | Other | GA | RAILROAD MEDICARE |
Other names
- BenchMark Physical Therapy
Other providers in Atlanta, GA
- Independent Physical Therapy of Ga, LLC
- Independent Physical Therapy of Georgia, LLC
- Independent Physical Therapy of Georgia, LLC
- Independent Physical Therapy of Georgia, LLC
- Independent Physical Therapy of Georgia, LLC
- Independent Physical Therapy of Georgia, LLC
- Independent Physical Therapy of Georgia, LLC
- Independent Physical Therapy of Georgia, LLC
- Independent Wellness Group
- Sri Nitya Reddy Reddy Induri
All providers in Atlanta, GA · Physical Therapy Clinic/Center in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2016. 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.