NPI age
13 years
Enumerated 2012-11-02
● 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 3 secondary
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Johanneson
Vp Revenue Cycle
Last NPPES update
2018-11-06
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
2
1 secondary on file
Subspecialties
3
In the 27% of peers with subspecialties
NPI lifetime · 2012 → 2026
2012-11Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
3885 Princeton Lakes Way Sw Ste 408
Atlanta, GA 303315599
Mailing address
6397 Lee Hwy Ste 300
Chattanooga, TN 374212564
Additional practice locations
1 secondary location on file with NPPES.
Location 2
3645 Marketplace Blvd Ste 160
East Point, GA 303445749
Authorized official
Kevin Johanneson
Vp Revenue Cycle
📞 4232387217
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Kelsey Brown Physical Therapist NPI 1598529737
- Clennysha Jones, PT, DPT Physical Therapist NPI 1669071155
- Menyon McBride-Colvard Physical Therapist NPI 1659053676
- Raymond Padilla, PT, DPT Physical Therapist NPI 1508593799
- Amber Steele, PT, DPT Physical Therapist NPI 1841800638
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...
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Clinic/CenterDefinition to come...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
BenchMark
-
BenchMark
Practice context
Multi-provider organization. 5 individual providers on file at this primary address. Plus 1 secondary practice location.
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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.