INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC (NPI# 1134172786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134172786 |
Entity Type | Organization |
Organization Name | INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC |
Other Organization Name | BENCHMARK PHYSICAL THERAPY |
Practice Address |
3200 Downwood Cir Nw Ste 430 Atlanta GA 30327-1659 |
Mailing Address |
8823 Production Ln Ooltewah TN 37363-6511 |
Practice Telephone | 4043556220 |
Practice Fax Number | 4043556293 |
Mailing Telephone | 4232387217 |
Mailing Fax Number | 4232383473 |
Enumeration Date | 2006-05-17 |
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 MEDICARE PROVIDER # | CK9205 | 01 |
Other Name | Type Code |
---|---|
BenchMark Physical Therapy | 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 |
3200 DOWNWOOD CIR NW STE 430 |
City | ATLANTA |
State | GA |
Zip Code | 30327-1659 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457667560 | Benchmark Healthcare Services LLC | Clinic/Center | 3200 Downwood Cir Nw Ste 430, Atlanta, GA 30327-1659 | 2010-08-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497388730 | Brand New Start Treatment Center- Paulding LLC | Clinic/Center | 311 Wi Pkwy, Suite 500, Dallas, GA 30327 | 2020-02-14 |
1477039741 | Atlanta Knee and Shoulder Clinic PC | Orthopaedic Surgery | 3200 Downwood Cir Nw Ste 410, Atlanta, GA 30327 | 2018-07-19 |
1336636174 | One Group LLC | In Home Supportive Care | 3150 Howell Mill Road, Atlanta, GA 30327 | 2018-04-17 |
1609313949 | Michelle Perry | Specialist/Technologist | 4075 Paces Ferry Road Nw, Atlanta, GA 30327 | 2017-01-25 |
1447706981 | Cailey Ann Binkley | Counselor | 4200 Northside Parkway, Building 7, Atlanta, GA 30327 | 2016-08-25 |
1902256555 | Carlos Alberto Prays | Family Medicine | 3200 Downwood Cir Nw Ste 200, Atlanta, GA 30327 | 2016-06-14 |
1851793210 | Laura Goydich Rhein | Anesthesiologist Assistant | 3193 Howell Mill Rd Nw Ste 100, Atlanta, GA 30327 | 2014-09-17 |
1699115451 | Jeffrey Alan Bernstein | Obstetrics & Gynecology | 655 Widgeon Lane, Atlanta, GA 30327 | 2013-06-26 |
1053755207 | Thomas Windrow Marks | Orthopaedic Surgery | 1011 West Paces Ferry Rd.n.w., Atlanta, GA 30327 | 2013-04-18 |
1245572643 | Valerie Lananh Truong | Dermatology | 3193 Howell Mill Rd Nw Ste 220, Atlanta, GA 30327 | 2013-03-23 |
Find all providers in zip 30327 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
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 |
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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.