NPIMap

Independent Physical Therapy of Georgia, LLC

Organization Active NPI Physical Therapist · Dahlonega, GA

NPI 1487962684 · NPPES record last updated Sep 30, 2025

Key facts

NPI
1487962684
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC
Practice address
420 Walmart Way
Ste B
Dahlonega, GA 30533-0818
Phone
(706) 482-2268
Fax
(706) 482-2294
NPI assigned
Sep 22, 2010
Organization subpart
No

Authorized official

Name
Lauren Hill
Title
Director of Credentialing
Phone
(423) 558-0493

Other NPIs on the same Medicare enrollment 35

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 35

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 526

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 526

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in GA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040303000396 GA Part B Supplier - Clinic/Group Practice 2961312244 Receives reassigned benefits from 1,039 practitioners
35 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20171026002588 GA DME Supplier - Independently-Practicing Physical Therapist
DME Supplier - Independently-Practicing Occupational Therapist		 2961312244 Practice locations: Dahlonega, GA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 225100000X Yes
Occupational Therapist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 225X00000X
Speech-Language Pathologist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 235Z00000X

Addresses

Primary practice location

420 Walmart Way
Ste B
Dahlonega, GA 30533-0818

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other names

  • Independent Physical Therapy of GA, LLC Doing business as

Other providers in Dahlonega, GA

All providers in Dahlonega, GA · Physical Therapist in Georgia

Sources for this page

Verify at the official NPI Registry.