INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC (NPI# 1013292119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013292119 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC |
| Other Organization Name | BENCHMARK PT |
| Practice Address |
1205 Johnson Ferry Rd Ste 130 Marietta GA 30068-5418 |
| Mailing Address |
8823 Production Ln Ooltewah TN 37363-6511 |
| Practice Telephone | 7705653201 |
| Practice Fax Number | 7705653203 |
| Mailing Telephone | 4232387217 |
| Mailing Fax Number | 4232383473 |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2011-11-01 |
| Authorized Official Name | TROY DALE BAGE (PRESIDENT) |
| Authorized Official Telephone | 4232387217 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| 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 Name | Type Code |
|---|---|
| BenchMark PT | Other Name - Individual/Organization |
| 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 |
| 1770837445 | Independent Physical Therapy of Georgia, LLC | Clinic/Center | 3885 Princeton Lakes Way Sw Ste 408, Atlanta, GA 30331-5599 | 2012-11-02 |
| 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 |
| Street Address |
1205 JOHNSON FERRY RD STE 130 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30068-5418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679861132 | Kimberly Bevillard Hart | Physical Therapist | 1205 Johnson Ferry Rd Ste 130, Marietta, GA 30068-5418 | 2011-07-19 |
| 1023620747 | Caitlin Lee West | Physical Therapist | 1205 Johnson Ferry Rd Ste 130, Marietta, GA 30068-5401 | 2020-08-24 |
| 1053923003 | Olivia Evelyn Hudson | Physical Therapist | 1205 Johnson Ferry Rd Ste 130, Marietta, GA 30068-5401 | 2020-08-20 |
| 1609426550 | Joseph Lee | Physical Therapist | 1205 Johnson Ferry Rd Ste 130, Marietta, GA 30068-5401 | 2019-09-12 |
| 1710535919 | Andrew Chetcuti | Physical Therapist | 1205 Johnson Ferry Rd Ste 130, Marietta, GA 30068-5401 | 2019-08-30 |
| 1487120408 | Emily Fatemeh Omidy | Physical Therapist | 1205 Johnson Ferry Rd Ste 130, Marietta, GA 30068-5401 | 2018-10-17 |
| 1245731538 | Lauren Claire Tomy | Occupational Therapist | 1205 Johnson Ferry Rd Ste 130, Marietta, GA 30068-5401 | 2018-02-22 |
| 1902305659 | Kathrina Jane De Silva Gonzales | Physical Therapist | 1205 Johnson Ferry Rd Ste 130, Marietta, GA 30068-5401 | 2018-02-08 |
| 1265961445 | Mary Babione Garner | Occupational Therapist | 1205 Johnson Ferry Rd Ste 130, Marietta, GA 30068-5401 | 2017-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798917 | Barbara Ann Goldschmidt | Pharmacist | 4088 Lower Roswell Rd, Marietta, GA 30068 | 2020-10-20 |
| 1285274480 | Cory Plasker | Chiropractor | 519b Johnson Ferry Road, Suite 350, Marietta, GA 30068 | 2020-01-15 |
| 1952949893 | Dr Amy L Varner LLC | Internal Medicine | 1000 Johnson Ferry Rd Bldg E Ste 200, Marietta, GA 30068 | 2019-12-11 |
| 1417501834 | Cornerstone Hospice and Palliative Care of Georgia, LLC | Hospice Care, Community Based | 1225 Johnson Ferry Rd., Bldg. 100, Suite 160, Marietta, GA 30068 | 2019-07-25 |
| 1639721038 | Cayla Clark | Behavior Technician | 137 Johnson Ferry Road Suite 2170, Marietta, GA 30068 | 2019-07-15 |
| 1467910828 | 2me Healthcare,llc | Home Health | 2586 Club Valley Drive Ne, Marietta, GA 30068 | 2019-03-05 |
| 1265912604 | Feidy Chiropractic Clinic Inc, Dba Cardwell Chiropractic Clinic | Chiropractor | 1230 Johnson Ferry Pl Ste G30, Marietta, GA 30068 | 2018-08-15 |
| 1225514219 | Audrey Hughes. Lcsw, LLC | Clinic/Center | 1212 Johnson Ferry Rd, Suite 300, Marietta, GA 30068 | 2018-07-13 |
| 1316461379 | Evan King | Registered Nurse | 52 Pioneer Trl, Marietta, GA 30068 | 2017-08-01 |
| 1912431867 | Anthony Izore | Nurse Practitioner | 5163 Tall Oak Drive, Marietta, GA 30068 | 2017-04-18 |
| Find all providers in zip 30068 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253658 | Intelli-therapists LLC | Clinic/Center | 3486 Sheridan Chase Se, Marietta, GA 30067-4336 | 2020-04-15 |
| 1437545324 | Neurosport Physical Therapy | Clinic/Center | 1163 Johnson Ferry Rd Ste 100, Marietta, GA 30068-2764 | 2015-04-08 |
| 1548699127 | Esop Rehabilitation LLC | Clinic/Center | 1100 Johnson Ferry Road, Suite 425, Marietta, GA 30068-2794 | 2013-11-05 |
| 1235406026 | East Cobb Therapy Solutions, LLC | Clinic/Center | 2826 Baccurate Dr, Marietta, GA 30062-8711 | 2011-11-21 |
| 1528223336 | Concentra Health Services, Inc. | Clinic/Center | 220 N Cobb Pkwy, Suite 400, Marietta, GA 30062-3579 | 2008-07-21 |
| 1265539381 | Perimeter Rehabilitation Center, Inc. | Clinic/Center | 310 Kings Ct Ne, Marietta, GA 30067-3622 | 2006-09-20 |
| 1306855838 | Occupational Health Centers of Georgia PC | Clinic/Center | 220 N. Cobb Parkway, Ste. 400, Marietta, GA 30062 | 2006-08-05 |
| 1538164553 | Gp Therapy LLC | Clinic/Center | 1100 Johnson Ferry Rd, Suite 425, Marietta, GA 30068-2794 | 2005-06-16 |
| 1376159020 | Pep Physical Therapy, LLC | Clinic/Center | 401 Hickory Walk Sw, Marietta, GA 30064-3040 | 2020-09-18 |
| 1720600802 | Integral Physical Therapy LLC | Clinic/Center | 1515 Johnson Ferry Rd, Marietta, GA 30062-6492 | 2020-05-12 |
| Find all providers in MARIETTA | ||||
Please comment or provide details below to improve the information on INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC.
| 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.