INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC (NPI# 1033161476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033161476 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC |
| Other Organization Name | BENCHMARK PHYSICAL THERAPY |
| Practice Address |
11490 Alpharetta Hwy Suite 200 Roswell GA 30076-3866 |
| Mailing Address |
8823 Production Ln Ooltewah TN 37363-6511 |
| Practice Telephone | 7707408592 |
| Practice Fax Number | 7707529478 |
| Mailing Telephone | 4232387217 |
| Mailing Fax Number | 4232383473 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2010-06-25 |
| Authorized Official Name | MR. TROY 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RAILROAD GROUP PROVIDER # | CK9205 | 01 |
| GA | RAILROAD GROUP PROVIDER# | CK9204 | 01 |
| Other Name | Type Code |
|---|---|
| BenchMark Physical Therapy | Doing Business As Name - 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 |
11490 ALPHARETTA HWY SUITE 200 |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-3866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700837101 | Roswell Health & Injury Center, Inc. | Chiropractor | 11490 Alpharetta Hwy, Suite 100, Roswell, GA 30076-3811 | 2006-05-12 |
| 1235676735 | Blake Stewart Hersch | Physical Therapist | 11490 Alpharetta Hwy, Ste 200, Roswell, GA 30076-3811 | 2017-01-23 |
| 1306299383 | Eric Matthew Banik | Physical Therapist | 11490 Alpharetta Hwy, Ste 200, Roswell, GA 30076-3811 | 2016-07-14 |
| 1861843724 | Alison Elise Borganelli | Physical Therapist | 11490 Alpharetta Hwy, Ste 200, Roswell, GA 30076-3811 | 2016-06-22 |
| 1376912279 | Lindsey Lauren Warthen | Physical Therapist | 11490 Alpharetta Hwy, Ste 200, Roswell, GA 30076-3811 | 2015-09-21 |
| 1568830446 | Matthew Stephen Franklin | Physical Therapist | 11490 Alpharetta Hwy, Ste 220, Roswell, GA 30076-3811 | 2015-09-09 |
| 1255707162 | Virginia Dore Hogan | Physical Therapist | 11490 Alpharetta Hwy, Ste 200, Roswell, GA 30076-3811 | 2015-08-14 |
| 1518333442 | Savannah Christine Ooten | Physical Therapist | 11490 Alpharetta Hwy, Ste 200, Roswell, GA 30076-3811 | 2015-08-14 |
| 1407222326 | Katelyn Elizabeth Hughes | Physical Therapist | 11490 Alpharetta Hwy, Ste 200, Roswell, GA 30076-3811 | 2015-08-14 |
| 1578939419 | Peter Min Park | Physical Therapist | 11490 Alpharetta Hwy, Ste 200, Roswell, GA 30076-3811 | 2015-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952920696 | Michele Pond Physical Therapy LLC | Clinic/Center | 910 Marietta Hwy Ste 240, Roswell, GA 30075-6750 | 2020-04-13 |
| 1114561636 | Drive Physical Therapy and Performance LLC | Clinic/Center | 700 Holcomb Bridge Rd Ste 200, Roswell, GA 30076-1630 | 2019-10-29 |
| 1033623673 | Body G O A L S Physical Therapy & Wellness | Clinic/Center | 875 Old Roswell Rd Ste F100, Roswell, GA 30076-1658 | 2017-11-17 |
| 1619349743 | Sentry Safety and Physical Therapy Specialists, LLC | Clinic/Center | 4504 Verde Dr, Roswell, NM 88201-9159 | 2015-10-28 |
| 1437593464 | Fusion Physical Therapy, Inc | Clinic/Center | 11660 Alpharetta Hwy Ste 268, Roswell, GA 30076-3876 | 2013-04-22 |
| 1073816112 | Restore Physical Therapy and Wellness LLC | Clinic/Center | 415 Bellflower Ct, Roswell, GA 30076-3369 | 2010-12-12 |
| 1952441255 | Arc Therapy Services LLC | Clinic/Center | 1000 Applewood Dr, Roswell, GA 30076-1395 | 2007-02-07 |
| 1073563763 | Roswell Therapy Services LLC | Clinic/Center | 10929 Crabapple Rd, Roswell, GA 30075-7657 | 2006-05-11 |
| 1275150039 | Movement Pursuit LLC | Clinic/Center | 120 Park Bridge Ln, Roswell, GA 30075-3062 | 2020-06-28 |
| 1285294694 | Agilitas Usa, Inc | Clinic/Center | 10800 Alpharetta Hwy Ste 176, Roswell, GA 30076-1463 | 2019-06-18 |
| Find all providers in ROSWELL | ||||
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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.