Active NPI
Independent Physical Therapy of Ga LLC
Doing business as Benchmark PT
- Physical Therapist
- Cleveland, GA
National Provider Identifier
1790889160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- INDEPENDENT PHYSICAL THERAPY OF GA LLC
- Doing business as
- Benchmark PT
- Practice address
- 1706 Highway 129 S Ste B
Cleveland, GA 30528-4945 - Phone
- (706) 219-4507
- Fax
- (706) 865-1501
- NPI assigned
- Sep 7, 2006
- Reactivated
- May 27, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bryan Barganier
- Title
- Cfo
- Phone
- (205) 536-7602
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
1706 Highway 129 S Ste B
Cleveland, GA 30528-4945
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217
Other names 1
- Benchmark PT
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612137600000",
"number": "1790889160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-7217",
"fax_number": "423-238-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 HIGHWAY 129 S STE B",
"city": "CLEVELAND",
"state": "GA",
"postal_code": "305284945",
"telephone_number": "706-219-4507",
"fax_number": "706-865-1501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDEPENDENT PHYSICAL THERAPY OF GA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-07",
"last_updated": "2021-02-01",
"certification_date": "2021-02-01",
"deactivation_date": "2006-12-15",
"reactivation_date": "2008-05-27",
"status": "A",
"authorized_official_last_name": "BARGANIER",
"authorized_official_first_name": "BRYAN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "205-536-7602"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Benchmark PT",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cleveland, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.