NPI age
19 years
Enumerated 2006-09-07
● Active Type 2 · Organization
Independent Physical Therapy Of Ga, Llc
Independent Physical Therapy Of Ga, Llc is 1 of 627 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 5 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Johanneson
Vp Revenue Cycle
Last NPPES update
2015-08-31
Source: monthly bulk 2026-05
How this organization compares
Across 627 active clinic/center providers in Georgia.
NPI age
19 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
5
In the 27% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
689 Hospital Rd
Commerce, GA 305291146
Mailing address
8823 Production Lane
Ooltewah, TN 373636511
Authorized official
Kevin Johanneson
Vp Revenue Cycle
📞 4232388923
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Robyne Adams, OT Occupational Therapist NPI 1447314752
- Kristy Cantrell, PT Physical Therapist NPI 1750483665
- Charles Dwozan, PT, DPT Physical Therapist NPI 1750739678
- Tamara Frazier, PT, DPT Physical Therapist NPI 1144742164
- Maria Gonzales, PT Physical Therapist NPI 1922612878
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...
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Occupational TherapistAn occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the...
-
Physical TherapistPhysical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
-
Speech-Language PathologistThe speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
BENCHMARK PT
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 →
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