NPI age
17 years
Enumerated 2008-06-16
● 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
Johanneson
Vp Revenue Cycle
Last NPPES update
2016-12-06
Source: monthly bulk 2026-05
How this organization compares
Across 627 active clinic/center providers in Georgia.
NPI age
17 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 27% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-06Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
800 Peachtree St Ne, Ste E2
Atlanta, GA 303081245
Mailing address
8823 Production Ln
Ooltewah, TN 373636511
Authorized official
Kevin Johanneson
Vp Revenue Cycle
📞 4232387217
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Brent Wilson, MD Psychiatry & Neurology NPI 1811186034
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...
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Clinic/CenterDefinition to come...
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Clinic/CenterDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | CK9205 | RAILROAD MEDICARE |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
BenchMark Physical Therapy
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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