INDEPENDENT PHYSICAL THERAPY OF GA, LLC (NPI# 1194171173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194171173 |
Entity Type | Organization |
Organization Name | INDEPENDENT PHYSICAL THERAPY OF GA, LLC |
Other Organization Name | BENCHMARK PT - BOULEVARD |
Practice Address |
285 Boulevard Ne Ste 310 Atlanta GA 30312-4205 |
Mailing Address |
8823 Production Ln Ooltewah TN 37363-6511 |
Practice Telephone | 4045819401 |
Practice Fax Number | 4045819403 |
Enumeration Date | 2016-05-10 |
Last Update Date | 2016-05-10 |
Authorized Official Name | KEVIN JOHANNESON (VP REVENUE CYCLE) |
Authorized Official Telephone | 4232383220 |
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 |
Other Name | Type Code |
---|---|
BenchMark PT - Boulevard | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285284505 | Independent Physical Therapy of Ga, LLC | Occupational Therapist | 3630 Thompson Bridge Rd Ste 4, Gainesville, GA 30506-1523 | 2019-09-18 |
1588213243 | Independent Physical Therapy of Ga, LLC | Occupational Therapist | 4200 Wade Green Rd Nw Ste 140, Kennesaw, GA 30144-1808 | 2019-09-05 |
1578117727 | Independent Physical Therapy of Ga, LLC | Occupational Therapist | 128 Duvall St Ste D, Clayton, GA 30525-5475 | 2019-07-26 |
1629636238 | Independent Physical Therapy of Ga, LLC | Occupational Therapist | 2215 Tobacco Rd Ste A, Augusta, GA 30906-8112 | 2019-05-30 |
1740742477 | Independent Physical Therapy of Ga, LLC | Occupational Therapist | 1260 Mars Hill Rd Ste 115, Watkinsville, GA 30677-4943 | 2019-04-02 |
1962976563 | Independent Physical Therapy of Ga, LLC | Occupational Therapist | 10 Village West Dr. Ste A, Senoia, GA 30276 | 2019-01-16 |
1508332537 | Independent Physical Therapy of Ga, LLC | Occupational Therapist | 210 Walmart Way, Eastanollee, GA 30538-3803 | 2018-10-17 |
1295242543 | Independent Physical Therapy of Ga, LLC | Occupational Therapist | 885 Dawsonville Hwy Ste 1140, Gainesville, GA 30501-2642 | 2018-01-09 |
1417469545 | Independent Physical Therapy of Ga, LLC | Occupational Therapist | 3610 Piedmont Rd Ne Ste 100a, Atlanta, GA 30305-1406 | 2017-10-30 |
1982114278 | Independent Physical Therapy of Ga, LLC | Speech-Language Pathologist | 3919 Carter Rd # A, Buford, GA 30518-1628 | 2017-10-02 |
Street Address |
285 BOULEVARD NE STE 310 |
City | ATLANTA |
State | GA |
Zip Code | 30312-4205 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790780278 | Israel B Orija | Internal Medicine | 285 Boulevard Ne, Ste 525, Atlanta, GA 30312-4205 | 2005-06-20 |
1558982843 | Kimberly C M Holderfield | Registered Nurse | 285 Boulevard Ne, Suite 345, Atlanta, GA 30312 | 2020-04-28 |
1811346604 | Hygea of Georgia, LLC | Internal Medicine | 285 Boulevard Ne, Suite 435, Atlanta, GA 30312-4205 | 2016-06-13 |
1902285695 | Karen Hargrove | Counselor | 285 Boulevard Ne, Suite 210, Atlanta, GA 30312-4205 | 2015-05-27 |
1417346941 | Rachel Marynowski | Nutritionist | 285 Boulevard Ne, Suite 110, Atlanta, GA 30312-4205 | 2015-01-21 |
1386033132 | Natasha Williamson | Nurse Practitioner | 285 Boulevard Ne, Atlanta, GA 30312-4205 | 2015-01-16 |
1457753014 | Essential Foot and Ankle Care, Inc | Podiatrist | 285 Boulevard Ne, Suite 525, Atlanta, GA 30312-4205 | 2014-09-25 |
1366858680 | Charles Kitchens Jr. | Nurse Practitioner | 285 Boulevard Ne, Atlanta, GA 30312-4205 | 2014-07-08 |
1033525415 | Dipa Patel | Nurse Practitioner | 285 Boulevard Ne, Suite 415, Atlanta, GA 30312-4205 | 2014-07-07 |
1619398534 | Joyce Rutledge | Physical Therapist | 285 Boulevard Ne, Suite 610, Atlanta, GA 30312-4205 | 2013-12-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770108516 | Bita Ranjbari | Physician Assistant | 659 Auburn Ave Se, Suite 505, Atlanta, GA 30312 | 2020-06-08 |
1609439629 | Adeyinka Edward Adeniyi | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center, 303 Parkway Drive Ne, 4th Floor, Internal Medicine Department, Atlanta, GA 30312 | 2019-04-16 |
1003378670 | James Spratt IIi | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Ne, 4th Floor, Wellstar Atlanta Medical Center Department of Orthopaed, Atlanta, GA 30312 | 2019-04-03 |
1659833440 | Derrick Edward Wendler | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center Dpt of Orthopaedics, 303 Parkway Drive Ne, 4th Floor, Atlanta, GA 30312 | 2019-04-02 |
1336631266 | The Atlanta Small Business Training Consortium, Inc. | Local Education Agency (LEA) | 250 Georgia Ave Se Ste 207a, Atlanta, GA 30312 | 2018-06-06 |
1669960134 | Derek Mccranie | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Atlanta, FL 30312 | 2018-04-30 |
1336646223 | Amy Ruth Williams | Nurse Practitioner | 383 Ralph Mcgill Blvd Ne Apt D, Atlanta, GA 30312 | 2018-04-09 |
1730689183 | Lisa Marie Margavage | Chiropractor | 720 Ralph Mcgill Blvd Ne Unit 210, Atlanta, GA 30312 | 2018-02-12 |
1922518836 | Rodney Aldridge | Registered Nurse | 250 Georgia Avenue, Suite 206, Atlanta, GA 30312 | 2017-10-05 |
1629599279 | Huda Hashim Elsamani Elsheikh | Student in an Organized Health Care Education/Training Program | 303 Parkway Dr Ne, Wellstar Atlanta Medical Center, Dept of Graduate Medical Education, Internal Medicine, Atlanta, GA 30312 | 2017-07-05 |
Find all providers in zip 30312 |
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 |
---|---|---|---|---|
1558969204 | Caitlin P Knowles | Physical Therapist | 349 Delmont Dr Ne, Atlanta, GA 30305-3220 | 2020-10-14 |
1659981322 | Gerald E Roettger | Physical Therapist | 2955 Peachtree Road Nw, Suite A1, Atlanta, GA 30305 | 2020-08-06 |
1063021251 | Zachary Vinsant | Physical Therapist | 4620 Wieuca Rd Ne Apt 26, Atlanta, GA 30342-3335 | 2020-07-23 |
1538777198 | Megan Mclees Washburn | Physical Therapist | 2448 Chestnut Lndg, Atlanta, GA 30360-2198 | 2020-07-20 |
1710521471 | Alexandra Marie Evancho | Physical Therapist | 141 Lindbergh Dr Ne Unit A, Atlanta, GA 30305-3765 | 2019-11-05 |
1386292217 | Andrew Michael Benton | Physical Therapist | 550 Peachtree St Ne Ste 1760, Atlanta, GA 30308-2262 | 2019-09-04 |
1093369548 | Gordon Peace | Physical Therapist | 705 Town Blvd Ne S 550, Atlanta, GA 30319 | 2019-08-01 |
1366094443 | Kelly Elizabeth Mckinnon | Physical Therapist | 2001 Peachtree Rd Ne Ste 200, Atlanta, GA 30309-1476 | 2019-07-10 |
1295292555 | Christina Diggs | Physical Therapist | 550 Peachtree St Ne # L231, Atlanta, GA 30308-2247 | 2019-02-22 |
1265998066 | Megan Elizabeth Ruger | Physical Therapist | 636 Cresthill Ave Ne, Atlanta, GA 30306-3640 | 2019-02-17 |
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.