INDEPENDENT PHYSICAL THERAPY OF GA, LLC (NPI# 1508232034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508232034 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT PHYSICAL THERAPY OF GA, LLC |
| Other Organization Name | BENCHMARK PT |
| Practice Address |
1106 Fountain Park Cir Brunswick GA 31520-4806 |
| Mailing Address |
8823 Production Lane Ooltewah TN 37363 |
| Practice Telephone | 9122622151 |
| Practice Fax Number | 9122622754 |
| Mailing Telephone | 4232387217 |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |
| Authorized Official Name | KEVIN JOHANNESON (VP REVENUE CYCLE) |
| Authorized Official Telephone | 4232388923 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| BenchMark PT | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285284505 | Independent Physical Therapy of Ga, LLC | Occupational Therapist | 3630 Thompson Bridge Rd Ste 4, Gainesville, GA 30506-1523 | 2019-09-18 |
| 1588213243 | Independent Physical Therapy of Ga, LLC | Occupational Therapist | 4200 Wade Green Rd Nw Ste 140, Kennesaw, GA 30144-1808 | 2019-09-05 |
| 1578117727 | Independent Physical Therapy of Ga, LLC | Occupational Therapist | 128 Duvall St Ste D, Clayton, GA 30525-5475 | 2019-07-26 |
| 1629636238 | Independent Physical Therapy of Ga, LLC | Occupational Therapist | 2215 Tobacco Rd Ste A, Augusta, GA 30906-8112 | 2019-05-30 |
| 1740742477 | Independent Physical Therapy of Ga, LLC | Occupational Therapist | 1260 Mars Hill Rd Ste 115, Watkinsville, GA 30677-4943 | 2019-04-02 |
| 1962976563 | Independent Physical Therapy of Ga, LLC | Occupational Therapist | 10 Village West Dr. Ste A, Senoia, GA 30276 | 2019-01-16 |
| 1508332537 | Independent Physical Therapy of Ga, LLC | Occupational Therapist | 210 Walmart Way, Eastanollee, GA 30538-3803 | 2018-10-17 |
| 1295242543 | Independent Physical Therapy of Ga, LLC | Occupational Therapist | 885 Dawsonville Hwy Ste 1140, Gainesville, GA 30501-2642 | 2018-01-09 |
| 1417469545 | Independent Physical Therapy of Ga, LLC | Occupational Therapist | 3610 Piedmont Rd Ne Ste 100a, Atlanta, GA 30305-1406 | 2017-10-30 |
| 1982114278 | Independent Physical Therapy of Ga, LLC | Speech-Language Pathologist | 3919 Carter Rd # A, Buford, GA 30518-1628 | 2017-10-02 |
| Street Address |
1106 FOUNTAIN PARK CIR |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31520-4806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922165794 | Graham Alexander Laidler | Physical Therapist | 1106 Fountain Park Cir, Brunswick, GA 31520-4806 | 2007-01-02 |
| 1588270268 | Brooke Mishae Sanders | Physical Therapist | 1106 Fountain Park Cir, Brunswick, GA 31520-4806 | 2020-09-18 |
| 1174135164 | Alexander Thomas Davis | Physical Therapist | 1106 Fountain Park Cir, Brunswick, GA 31520-4806 | 2020-08-20 |
| 1720552300 | Kyrsten Lee Dowling | Physical Therapist | 1106 Fountain Park Cir, Brunswick, GA 31520-4806 | 2019-01-16 |
| 1922595917 | Marcia Beauchamp | Physical Therapy Assistant | 1106 Fountain Park Cir, Brunswick, GA 31520-4806 | 2018-04-16 |
| 1578006656 | Lindsey Keen Duffy | Physical Therapist | 1106 Fountain Park Cir, Brunswick, GA 31520-4806 | 2016-11-22 |
| 1083083836 | Erica Allyne Zippel | Physical Therapist | 1106 Fountain Park Cir, Brunswick, GA 31520-4806 | 2015-09-23 |
| 1619299807 | Natonya Quenise Early | Physical Therapist | 1106 Fountain Park Cir, Brunswick, GA 31520-4806 | 2010-02-16 |
| 1003956848 | Ashley M. Tindle | Physical Therapist | 1106 Fountain Park Cir, Brunswick, GA 31520-4806 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
| 1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
| 1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
| 1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
| 1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
| 1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
| 1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
| 1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
| 1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
| 1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
| Find all providers in zip 31520 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962069666 | Alexa Siefker | Physical Therapist | 3864 Center Rd Ste B1, Brunswick, OH 44212-6601 | 2019-05-29 |
| 1619403045 | Accel Physical Therapy LLC | Physical Therapist | 4 Leavitt Drive, Brunswick, ME 04011-5035 | 2017-05-04 |
| 1689126856 | Corey Voisine | Physical Therapist | 22 Station Ave Ste 201, Brunswick, ME 04011-2092 | 2016-11-03 |
| 1386093862 | Shannon Veillette | Physical Therapist | 1204 Volunteer Dr, Brunswick, MD 21716-9717 | 2016-06-06 |
| 1982077525 | Kimberly Tycz | Physical Therapist | 4 Dans Way, Brunswick, ME 04011-7839 | 2015-11-04 |
| 1841697976 | William Joseph Grospitch | Physical Therapist | 3480 Varmland Ct, Brunswick, OH 44212-3124 | 2014-12-04 |
| 1609122498 | Shawn Paquette | Physical Therapist | 8 Gurnet Rd, Brunswick, ME 04011-2766 | 2012-07-30 |
| 1841577111 | Pediatric Therapies of Se Ga, LLC | Physical Therapist | 4212 Coral Park Dr, Brunswick, GA 31520-3016 | 2011-11-14 |
| 1902190093 | Brunswick Physical Therapy LLC | Physical Therapist | 70 Souder Rd, Brunswick, MD 21716-1245 | 2011-06-06 |
| 1932301363 | Physical Therapy Plus, Inc | Physical Therapist | 3647 Altama Ave, Varsity Plaza, Brunswick, GA 31520-3631 | 2007-06-05 |
| Find all providers in BRUNSWICK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.