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● Active Type 2 · Organization

Independent Physical Therapy Of Georgia, Llc

Clinic/Center·Lithonia, GA· NPI 1124389887 · Enumerated 2012 · 13 years on NPI
Independent Physical Therapy Of Georgia, Llc is 1 of 627 clinic/center organizations in Georgia.
NPI age
13 years
Enumerated 2012-05-30
Primary specialty
Clinic/Center
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Russell
Manager
Last NPPES update
2012-06-05
Source: monthly bulk 2026-05

How this organization compares

Across 627 active clinic/center providers in Georgia.

NPI age
13 years
≈ at median (12 yr)
Practice locations
1
0 secondary on file
Subspecialties
2
In the 27% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-05Enumerated in NPPES
2012 2026

Where they practice

Primary practice location
3007 Panola Rd Ste C
Lithonia, GA 300382492
📞 7709871122fax 7709871149
Mailing address
8823 Production Ln
Ooltewah, TN 373636511
📞 4232387217fax 4232383473

Authorized official

Kiley Russell
Manager
📞 4232388923

Individual providers at this organization

16 individual providers on file at this primary practice address.

Specialties

Ambulatory Health Care Facilities › Clinic/Center
  • Clinic/Center Primary
    An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and...
    taxonomy 261QP2000X
  • Clinic/Center
    Definition to come...
    taxonomy 261QM1300X
  • Clinic/Center
    Definition to come...
    taxonomy 261QR0400X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • BenchMark
    Type code 5 recorded 2012-05-30

Practice context

Multi-provider organization. 16 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related

Clinic/Center organizations in Georgia
→ Georgia hub
About this specialty
→ Specialty guide