Independent Physical Therapy of Ga, LLC
Organization Active NPI Physical Therapist · McDonough, GA
NPI 1477906006 · NPPES record last updated Jul 19, 2016
Key facts
- NPI
- 1477906006
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- INDEPENDENT PHYSICAL THERAPY OF GA, LLC
- Practice address
- 898 Hampton Rd
McDonough, GA 30253-6514 - Phone
- (678) 583-9954
- Fax
- (678) 583-8709
- NPI assigned
- Jul 19, 2016
- Organization subpart
- No
Authorized official
- Name
- Kevin Johanneson
- Title
- VP of 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
898 Hampton Rd
McDonough, GA 30253-6514
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Other names
- BenchMark PT - McDonough
Other providers in McDonough, GA
- Felice Ike
- Illum Residential Care, Inc.
- Allan B Imes Jr.
- Improving Access, Inc
- Independent Physical Therapy of Ga LLC
- Individual and Family Matters, LLC
- Infinite Health Services, LLC
- Infinite Health, Inc.
- Infinite Resilience LLC
- Infinite Support Medical Services LLC
All providers in McDonough, 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 Jul 19, 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.