INDEPENDENT PHYSICAL THERAPY OF GA LLC (NPI# 1619524816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619524816 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT PHYSICAL THERAPY OF GA LLC |
| Practice Address |
1204 Us 19 S Ste B Leesburg GA 31763-5982 |
| Mailing Address |
6397 Lee Hwy Ste 300 Chattanooga TN 37421-4915 |
| Practice Telephone | 2294962342 |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2019-08-30 |
| Authorized Official Name | KEVIN JOHANNESON (VP REVENUE CYCLE) |
| Authorized Official Telephone | 4232382313 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900912 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 113 Poplar Springs Rd, Ringgold, GA 30736-2808 | 2020-10-21 |
| 1447858105 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 5575 New Northside Dr Ste 100, Sandy Springs, GA 30339-5334 | 2020-10-15 |
| 1235742248 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 6035 Peachtree Rd Ste C206, Doraville, GA 30360-3239 | 2020-08-28 |
| 1003440033 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 3725 Sixes Rd Ste 105, Canton, GA 30114-8961 | 2020-02-28 |
| 1144853508 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 1958 N Columbia St, Milledgeville, GA 31061-2093 | 2020-02-13 |
| 1023640752 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 215 Davis Blvd, Bremen, GA 30110-2569 | 2020-02-11 |
| 1881230944 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 1817 Rice Ave Ste C, Dublin, GA 31021-3697 | 2019-11-25 |
| 1659917946 | Independent Physical Therapy of Ga LLC | Speech-Language Pathologist | 5200 Dallas Hwy Ste 270, Powder Springs, GA 30127-6296 | 2019-11-21 |
| 1841831583 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 660 Lake Joy Rd Ste D, Kathleen, GA 31047 | 2019-10-03 |
| 1215599501 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 1639 Bradley Park Dr Ste C-2, Columbus, GA 31904-3620 | 2019-07-08 |
| Street Address |
1204 US 19 S STE B |
| City | LEESBURG |
| State | GA |
| Zip Code | 31763-5982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790150423 | Jamie Perrella Flynn-pressley | Counselor | 112 Cris Ann St., Leesburg, GA 31763 | 2015-12-07 |
| 1023429511 | Brookstone Medical LLC | Durable Medical Equipment & Medical Supplies | 123 Hugh Rd, Leesburg, GA 31763 | 2014-05-19 |
| 1124370796 | Freds Stores of Tennessee Inc | Pharmacy | 118 Robert B Lee Drive, Leesburg, GA 31763 | 2012-10-08 |
| 1255649273 | Lee County Optical LLC | Optometrist | 1569 Highway 19 South, Leesburg, GA 31763 | 2010-09-24 |
| 1851572473 | Shaun Nicholas Price | Chiropractor | 152 Robert B Lee Dr, # 31, Leesburg, GA 31763 | 2007-11-26 |
| 1710042007 | Williams & Bush Partnership | Dentist | 919 Us Hwy 19 South, Leesburg, GA 31763 | 2006-12-27 |
| 1063570398 | Lee County Board of Education | Local Education Agency (LEA) | 126 Starksville Avenue, North, Leesburg, GA 31763 | 2006-12-06 |
| 1225109929 | Lee County School System | Local Education Agency (LEA) | 126 Starksville Avenue North, Leesburg, GA 31763 | 2006-11-13 |
| 1073682936 | Adams' Loving Pro Home Health Care Inc. | Home Health | 1277 Hwy 82 West, 121, Leesburg, GA 31763 | 2006-11-07 |
| 1225132699 | Deirdre Mae Clairewen Lawson | Internal Medicine | 235 Walnut Street, Leesburg, GA 31763 | 2006-09-07 |
| Find all providers in zip 31763 | ||||
| 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 |
|---|---|---|---|---|
| 1376140749 | Michael Sevilla | Physical Therapist | 137 Meadowview Ct, Leesburg, GA 31763-8204 | 2020-10-07 |
| 1962041160 | Grace Sophia Pakkianathan | Physical Therapist | 40617 Woodside Pl, Leesburg, VA 20175-8837 | 2020-01-06 |
| 1588214308 | Lyndsey Marie Mcintyre | Physical Therapist | 30 Catoctin Cir Se Ste 112, Leesburg, VA 20175-3614 | 2019-09-13 |
| 1437717733 | Irene Lindquist | Physical Therapist | 19385 Cypress Ridge Ter Unit 201, Leesburg, VA 20176-5163 | 2019-05-31 |
| 1114433307 | Quang That Ton | Physical Therapist | 540 Fort Evans Rd Ste 206, Leesburg, VA 20176-3379 | 2017-12-25 |
| 1992108542 | Maria Ceballos | Physical Therapist | 600 North Boulevard, W. Suite D, Leesburg, FL 34748 | 2014-09-26 |
| 1073935870 | Travis Ammons | Physical Therapist | 210 S Lake St, Leesburg, FL 34748 | 2014-01-13 |
| 1164862900 | Janessa Mangulabnan | Physical Therapist | 26803 White Plains Way, Leesburg, FL 34748-1302 | 2013-06-25 |
| 1891044129 | Ace Physical Therapy & Sports Medicine Institute, LLC | Physical Therapist | 19465 Deerfield Ave Ste 311, Leesburg, VA 20176-1706 | 2012-08-31 |
| 1336400886 | Bobby Korez Zachariah | Physical Therapist | 315 Dry Mill Rd Sw, Leesburg, VA 20175-2601 | 2012-05-31 |
| Find all providers in LEESBURG | ||||
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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.