INDEPENDENT PHYSICAL THERAPY OF GA LLC (NPI# 1003440033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003440033 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT PHYSICAL THERAPY OF GA LLC |
| Practice Address |
3725 Sixes Rd Ste 105 Canton GA 30114-8961 |
| Mailing Address |
6397 Lee Hwy Ste 300 Chattanooga TN 37421-4915 |
| Practice Telephone | 7702137257 |
| Practice Fax Number | 7702137268 |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-03-23 |
| 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 |
| 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 |
| 1619524816 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 1204 Us 19 S Ste B, Leesburg, GA 31763-5982 | 2019-08-22 |
| 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 |
3725 SIXES RD STE 105 |
| City | CANTON |
| State | GA |
| Zip Code | 30114-8961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| 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 |
|---|---|---|---|---|
| 1316548589 | Dipal Patel | Physical Therapist | 4063 Pond Run, Canton, MI 48188-2176 | 2020-11-04 |
| 1538775713 | Elango Kaliamoorthy | Physical Therapist | 2456 Premier Ln, Canton, MI 48188-2556 | 2020-09-22 |
| 1861004921 | Abdul Wahid | Physical Therapist | 46547 Inverness Rd, Canton, MI 48188-3051 | 2020-08-20 |
| 1114539582 | Kristin Renae Ferrell | Physical Therapist | 276 Nissan Pkwy Ste 100, Canton, MS 39046-7006 | 2020-08-18 |
| 1396356176 | Specialized Physical Therapy LLC | Physical Therapist | 49783 Annandale Dr, Canton, MI 48187-2159 | 2020-08-13 |
| 1386253722 | Swati Mistry | Physical Therapist | 45521 Morningside Rd, Canton, MI 48187-5612 | 2020-07-30 |
| 1386252427 | Cardinal Medical Rehabilitation LLC | Physical Therapist | 3745 Whipple Ave Nw Ste B, Canton, OH 44718-4805 | 2020-07-15 |
| 1013537901 | Rebecca Ann Allen | Physical Therapist | 4647 Yale Ave Nw, Canton, OH 44709-1463 | 2020-04-20 |
| 1922627769 | Badal Arora | Physical Therapist | 49457 Lansdowne St, Canton, MI 48188-3445 | 2020-04-12 |
| 1215562178 | Reclaim Physical Therapy, LLC | Physical Therapist | 1016 Lower Union Hill Rd, Canton, GA 30115-8419 | 2020-03-10 |
| Find all providers in CANTON | ||||
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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.