NPI age
13 years
Enumerated 2012-10-12
● Active Type 2 · Organization
Independent Physical Therapy, Llc
Independent Physical Therapy, 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
Wallace
Director Of Contract Management
Last NPPES update
2012-10-12
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
1
0 secondary on file
Subspecialties
2
In the 27% of peers with subspecialties
NPI lifetime · 2012 → 2026
2012-10Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
2295 Towne Lake Pkwy Ste 148
Woodstock, GA 301895520
Mailing address
8823 Production Ln
Ooltewah, TN 373636511
Authorized official
Marvette E Wallace
Director Of Contract Management
📞 4232387217
Individual providers at this organization
14 individual providers on file at this primary practice address.
- Matthew Ayers, PT, DPT Physical Therapist NPI 1033541560
- Matthew Dupell, PT, DPT Physical Therapist NPI 1346896487
- James Gall, DPT Physical Therapist NPI 1114633088
- Kristen Gallagher, PT, DPT Physical Therapist NPI 1326578949
- Laura Jansky, PT, DPT Physical Therapist NPI 1700301561
- Matthew Kilgore, PT, DPT Physical Therapist NPI 1235797663
- Kathryn Lang, PT, DPT Physical Therapist NPI 1891083762
- Travis Lewek, DPT Physical Therapist NPI 1447643077
- Phillip Loudermilk, PT, DPT Physical Therapist NPI 1871070359
- Taylor Maida, PT, DPT Physical Therapist NPI 1841802808
- Diedra Olin, PT Physical Therapist NPI 1417094640
- Yvette Strickland, PT, DPT Physical Therapist NPI 1386723641
- Sofia Tapia, DPT Physical Therapist NPI 1629760871
- Gregory Vescera, PT, DPT Physical Therapist NPI 1275552499
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...
Practice context
Multi-provider organization. 14 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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