INDEPENDENT PHYSICAL THERAPY OF GA, LLC (NPI# 1285155879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285155879 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT PHYSICAL THERAPY OF GA, LLC |
| Other Organization Name | BENCHMARK PT - MACEDONIA WOODMONT VILLAGE |
| Practice Address |
8012 Cumming Hwy Ste 106 Canton GA 30115-9338 |
| Mailing Address |
6397 Lee Hwy Ste 300 Chattanooga TN 37421-2564 |
| Practice Telephone | 7702246838 |
| Practice Fax Number | 7702246453 |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2017-07-05 |
| Authorized Official Name | KEVIN JOHANNESON (VP REVENUE CYCLE) |
| Authorized Official Telephone | 4232387217 |
| 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 - Macedonia Woodmont Village | Other Name - Individual/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 |
8012 CUMMING HWY STE 106 |
| City | CANTON |
| State | GA |
| Zip Code | 30115-9338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364806 | Amanda Arbogast | Speech-Language Pathologist | 610 Royal Crest Court, Canton, GA 30115 | 2020-07-31 |
| 1033754163 | Kelly Marie Shirley | Nurse Practitioner | 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 | 2019-11-13 |
| 1700394319 | Jennifer Lynn Davenport | Nurse Practitioner | 684 Sixes Rd Ste 125, Holly Springs, GA 30115 | 2018-01-17 |
| 1851717961 | Wal-mart Stores East, Lp | Technician/Technologist | 2200 Holly Springs Pkey, Holly Springs, GA 30115 | 2014-03-13 |
| 1194148502 | Julia Bedingfield Reid | Pharmacist | 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 | 2014-01-22 |
| 1447597992 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2030 Cumming Highway, Suite 106, Canton, GA 30115 | 2013-01-03 |
| 1679821193 | Jill M Decorso | Speech-Language Pathologist | 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 | 2012-08-15 |
| 1306113378 | Sidney Boyd Collier IIi | Pharmacist | 6111 Hickory Flat Highway, Canton, GA 30115 | 2011-11-18 |
| 1174804702 | Rayllensons Itacy | Physician Assistant | 2020 Cumming Highway, Suite 102, Canton, GA 30115 | 2011-09-09 |
| 1245534346 | Kim M. Mcmillan | Counselor | 154 Lakeside Drive, Canton, GA 30115 | 2011-01-04 |
| Find all providers in zip 30115 | ||||
| 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 |
|---|---|---|---|---|
| 1316548589 | Dipal Patel | Physical Therapist | 4063 Pond Run, Canton, MI 48188-2176 | 2020-11-04 |
| 1538775713 | Elango Kaliamoorthy | Physical Therapist | 2456 Premier Ln, Canton, MI 48188-2556 | 2020-09-22 |
| 1861004921 | Abdul Wahid | Physical Therapist | 46547 Inverness Rd, Canton, MI 48188-3051 | 2020-08-20 |
| 1114539582 | Kristin Renae Ferrell | Physical Therapist | 276 Nissan Pkwy Ste 100, Canton, MS 39046-7006 | 2020-08-18 |
| 1396356176 | Specialized Physical Therapy LLC | Physical Therapist | 49783 Annandale Dr, Canton, MI 48187-2159 | 2020-08-13 |
| 1386253722 | Swati Mistry | Physical Therapist | 45521 Morningside Rd, Canton, MI 48187-5612 | 2020-07-30 |
| 1386252427 | Cardinal Medical Rehabilitation LLC | Physical Therapist | 3745 Whipple Ave Nw Ste B, Canton, OH 44718-4805 | 2020-07-15 |
| 1013537901 | Rebecca Ann Allen | Physical Therapist | 4647 Yale Ave Nw, Canton, OH 44709-1463 | 2020-04-20 |
| 1922627769 | Badal Arora | Physical Therapist | 49457 Lansdowne St, Canton, MI 48188-3445 | 2020-04-12 |
| 1215562178 | Reclaim Physical Therapy, LLC | Physical Therapist | 1016 Lower Union Hill Rd, Canton, GA 30115-8419 | 2020-03-10 |
| Find all providers in CANTON | ||||
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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.