NPI age
12 years
Enumerated 2013-07-12
● Active Type 2 · Organization
Independent Physical Therapy Of Georgia, Llc
Independent Physical Therapy Of Georgia, Llc is 1 of 627 clinic/center organizations in Georgia.
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
2013-07-12
Source: monthly bulk 2026-05
How this organization compares
Across 627 active clinic/center providers in Georgia.
NPI age
12 years
≈ at median (12 yr)
Practice locations
1
0 secondary on file
Subspecialties
2
In the 27% of peers with subspecialties
NPI lifetime · 2013 → 2026
2013-07Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
3455 Peachtree Pkwy Ste 206
Suwanee, GA 300249104
Mailing address
8823 Production Ln
Ooltewah, TN 373636511
Authorized official
Kiley Russell
Manager
📞 4232387217
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Ravina Chaudhari Physical Therapist NPI 1184455909
- Simone Jackson Physical Therapist NPI 1740846328
- Qianyun Meng, PT, DPT Physical Therapist NPI 1821649690
- Cheryl Miller, PT Physical Therapist NPI 1144846668
- Samantha Peacock, PTA Physical Therapy Assistant NPI 1750831103
Specialties
-
Clinic/Center PrimaryAn 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...
-
Clinic/CenterDefinition to come...
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Clinic/CenterDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Benchmark - Suwanee
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.