INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC


Address: 3885 Princeton Lakes Way Sw Ste 408, Atlanta, GA 30331-5599
Phone: 4043442823

INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC (NPI# 1770837445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770837445
Entity Type Organization
Organization Name INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC
Other Organization Name BENCHMARK
Practice Address 3885 Princeton Lakes Way Sw Ste 408
Atlanta
GA 30331-5599
Mailing Address 6397 Lee Hwy Ste 300
Chattanooga
TN 37421-2564
Practice Telephone 4043442823
Practice Fax Number 4046293737
Mailing Telephone 4232387217
Mailing Fax Number 4232383473
Enumeration Date 2012-11-02
Last Update Date 2018-11-06
Authorized Official Name KEVIN JOHANNESON (VP REVENUE CYCLE)
Authorized Official Telephone 4232387217
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QX0100X Clinic/Center
Specialization: Occupational Medicine
Ambulatory Health Care Facilities
N 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities
N 261QR0400X Clinic/Center
Specialization: Rehabilitation
Ambulatory Health Care Facilities
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
BenchMark Other Name - Individual/Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
3645 Marketplace Blvd Ste 160, East Point, GA 303445749 4046622195 4046622369

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1518418409 Independent Physical Therapy of Georgia, LLC Occupational Therapist 330 Turner Mccall Blvd Sw Ste 2000, Rome, GA 30165-5618 2016-10-17
1114384500 Independent Physical Therapy of Georgia, LLC Occupational Therapist 744 Noah Dr Ste 107, Jasper, GA 30143-8704 2016-01-15
1497159198 Independent Physical Therapy of Georgia, LLC Occupational Therapist 1021 Parkway Blvd, Ste 101, Athens, GA 30606-6189 2014-10-09
1376956003 Independent Physical Therapy of Georgia, LLC Clinic/Center 5500 Chamblee Dunwoody Rd Ste 5b, Dunwoody, GA 30338-4162 2014-06-10
1437589116 Independent Physical Therapy of Georgia, LLC Occupational Therapist 463 Turner Mccall Blvd Ne, Rome, GA 30165-2735 2013-11-18
1225462740 Independent Physical Therapy of Georgia, LLC Clinic/Center 2120 W Spring St Ste 1600, Monroe, GA 30655-3901 2013-09-03
1366883746 Independent Physical Therapy of Georgia, LLC Clinic/Center 3455 Peachtree Pkwy Ste 206, Suwanee, GA 30024-9104 2013-07-12
1457608861 Independent Physical Therapy of Georgia, LLC Occupational Therapist 1453 Riverstone Pkwy, Ste 170, Canton, GA 30114-5626 2012-08-06
1780947978 Independent Physical Therapy of Georgia, LLC Clinic/Center 2255 Peachtree Rd Ne, Ste G, Atlanta, GA 30309-1101 2012-06-21
1013292135 Independent Physical Therapy of Georgia, LLC Clinic/Center 921 Moores Ferry Rd Ste D, Villa Rica, GA 30180-9700 2011-10-20

Office Location

Street Address 3885 PRINCETON LAKES WAY SW STE 408
City ATLANTA
State GA
Zip Code 30331-5599

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669071155 Clennysha Jones Physical Therapist 3885 Princeton Lakes Way Sw Ste 408, Atlanta, GA 30331-5599 2020-10-26
1841800638 Amber Steele Physical Therapist 3885 Princeton Lakes Way Sw Ste 408, Atlanta, GA 30331-5599 2020-08-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861001174 Whitney Flemister Social Worker 3961 Princeton Lakes Way Sw, Atlanta, GA 30331 2020-07-23
1982237400 Publix Super Markets, Inc. Durable Medical Equipment & Medical Supplies 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 2020-02-13
1295375558 Drusilla Precious Cudjoe Behavior Technician 3800 Camp Creek Parkway Sw, Building 1400, Atlanta, GA 30331 2020-01-14
1497262778 Champions Pharmacy Pharmacy 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 2018-01-08
1033629779 Carmen Ardoin Counselor 2636 Martin Luther King Jr. Drive, Suite 12, Atlanta, GA 30331 2017-10-09
1346759974 Neva R Allison Nurse Practitioner 2611 Dayview Ln, Atlanta, GA 30331 2017-09-26
1538678255 Natalie Mckay Technician/Technologist 3915 Cascade Rd, 220, Atlanta, GA 30331 2017-09-26
1700304268 Tyrone Pipkin Contractor 415 Kendrick Terrace Sw, Atlanta, GA 30331 2017-09-05
1073031688 Kristen Wooldridge Pharmacist 3695 Cascade Road, Atlanta, GA 30331 2017-09-04
1548704687 Advance Pain Management Health Maintenance Organization 2950 Stone Hogan Road Connector, Atlanta, GA 30331 2016-12-08
Find all providers in zip 30331

Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205441987 Fortitude Movement & Strength Inc. Clinic/Center 5300 Peachtree Rd Unit 2508, Atlanta, GA 30341-2457 2020-09-10
1225646821 Innovative Therapeutic Solutions, LLC Clinic/Center 360 Pharr Rd Ne Apt 404, Atlanta, GA 30305-2391 2020-07-20
1700355690 Lindsay Hazel Bautista Clinic/Center 3380 Peachtree Rd Ne Unit 814, Atlanta, GA 30326-1645 2018-11-20
1891281218 Well Equipt Clinic/Center 2426 Ridgewood Rd Nw, Atlanta, GA 30318-1316 2018-07-09
1811426075 Assistcare Surgical Aftercare and Physical Therapy Clinic/Center 3576 Chamblee Tucker Rd Ste Bc&d, Atlanta, GA 30341-4424 2017-06-09
1871022541 Aczi, LLC Clinic/Center 2800 N Druid Hills Rd Ne Ste C, Atlanta, GA 30329-3987 2017-06-07
1134587074 Functionize Health & Physical Therapy Clinic/Center 1199 Saint Andrews Cir, Atlanta, GA 30338-3201 2016-02-07
1952779043 Holistic Occupational and Physical Therapy Clinic/Center 1393 Blairwood Ct, Atlanta, GA 30331-7491 2015-09-08
1225416100 Fit Core Physical Therapy, Inc. Clinic/Center 4779 S Atlanta Rd Se Ste 200, Atlanta, GA 30339-1565 2015-05-12
1538561659 Golden Way Group Inc Clinic/Center 235 Peachtree Street, Suite 400, Atlanta, GA 30303 2014-09-19
Find all providers in ATLANTA

Competitor

Search similar providers

City ATLANTA
Zip Code 30331

Improve Information

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Dataset Information

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.

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