P Praxis·MD
● Active Type 2 · Organization

Independent Physical Therapy Of Georgia, Llc

Clinic/Center·Tucker, GA· NPI 1982859419 · Enumerated 2008 · 17 years on NPI
Independent Physical Therapy Of Georgia, Llc is 1 of 627 clinic/center organizations in Georgia.
NPI age
17 years
Enumerated 2008-11-25
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
2017-09-26
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

2008-11Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
4404 Hugh Howell Rd Ste 18
Tucker, GA 300844916
📞 7704935543fax 7704935549
Mailing address
6397 Lee Hwy Ste 300
Chattanooga, TN 374212564
📞 4232387217fax 4232383473

Authorized official

Kevin Johanneson
Vp Revenue Cycle
📞 4232387217

Individual providers at this organization

4 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    An 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...
    taxonomy 261QP2000X
  • Clinic/Center
    Definition to come...
    taxonomy 261QM1300X
  • Clinic/Center
    Definition to come...
    taxonomy 261QR0400X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • BenchMark Physical Therapy
    Type code 5 recorded 2008-11-25

Practice context

Multi-provider organization. 4 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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