INDEPENDENT PHYSICAL THERAPY OF GA, LLC


Address: 285 Boulevard Ne, Ste 310, Atlanta, GA 30312-4205
Phone: 4045819401

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).

Provider Overview

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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
BenchMark PT - Boulevard Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 285 BOULEVARD NE
STE 310
City ATLANTA
State GA
Zip Code 30312-4205

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 225100000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist

Taxonomy Definition

(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

Providers in the same taxonomy and city

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
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City ATLANTA
Zip Code 30312

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Dataset Information

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.

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