NPI age
15 years
Enumerated 2011-01-11
● 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
2017-09-20
Source: monthly bulk 2026-05
How this organization compares
Across 627 active clinic/center providers in Georgia.
NPI age
15 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 27% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-01Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
2097 N Decatur Rd
Decatur, GA 300335305
Mailing address
6397 Lee Hwy Ste 300
Chattanooga, TN 374212564
Authorized official
Kevin Johanneson
Vp Revenue Cycle
📞 4232387217
Individual providers at this organization
10 individual providers on file at this primary practice address.
- Allison Ayers, PT Physical Therapist NPI 1356494686
- Kelvin Carter, PT, DPT Physical Therapist NPI 1437568300
- Daniel Chen, PT Physical Therapist NPI 1740698851
- Shannon Escarra, PT, DPT Physical Therapist NPI 1003475369
- Sarah Fasolino, PT, DPT Physical Therapist NPI 1497200034
- Mikalah Harp, DPT Physical Therapist NPI 1730988627
- Wesley Hutton, PT, DPT Physical Therapist NPI 1841873189
- Benjamin Knipp, PT, DPT Physical Therapist NPI 1568232411
- Alicia Lalla, PT, DPT Physical Therapist NPI 1376829523
- Basilio Papotto, PT, MSPT Physical Therapist NPI 1326127002
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...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
BenchMark Physical Therapy
Practice context
Multi-provider organization. 10 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 →
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