INDEPENDENT PHYSICAL THERAPY OF GA LLC (NPI# 1578064754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578064754 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT PHYSICAL THERAPY OF GA LLC |
| Practice Address |
4145 Lawrenceville Hwy Nw Ste 8 Lilburn GA 30047-2807 |
| Mailing Address |
6397 Lee Hwy Ste 300 Chattanooga TN 37421-2564 |
| Practice Telephone | 4231234567 |
| Mailing Telephone | 4232387217 |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2018-02-23 |
| Authorized Official Name | KEVIN JOHANNESON (VP REVENUE CYCLES) |
| Authorized Official Telephone | 4232382313 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900912 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 113 Poplar Springs Rd, Ringgold, GA 30736-2808 | 2020-10-21 |
| 1447858105 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 5575 New Northside Dr Ste 100, Sandy Springs, GA 30339-5334 | 2020-10-15 |
| 1235742248 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 6035 Peachtree Rd Ste C206, Doraville, GA 30360-3239 | 2020-08-28 |
| 1003440033 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 3725 Sixes Rd Ste 105, Canton, GA 30114-8961 | 2020-02-28 |
| 1144853508 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 1958 N Columbia St, Milledgeville, GA 31061-2093 | 2020-02-13 |
| 1023640752 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 215 Davis Blvd, Bremen, GA 30110-2569 | 2020-02-11 |
| 1881230944 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 1817 Rice Ave Ste C, Dublin, GA 31021-3697 | 2019-11-25 |
| 1659917946 | Independent Physical Therapy of Ga LLC | Speech-Language Pathologist | 5200 Dallas Hwy Ste 270, Powder Springs, GA 30127-6296 | 2019-11-21 |
| 1841831583 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 660 Lake Joy Rd Ste D, Kathleen, GA 31047 | 2019-10-03 |
| 1619524816 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 1204 Us 19 S Ste B, Leesburg, GA 31763-5982 | 2019-08-22 |
| Street Address |
4145 LAWRENCEVILLE HWY NW STE 8 |
| City | LILBURN |
| State | GA |
| Zip Code | 30047-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689015026 | Ketreena Roshawn Footman | Physical Therapist | 4145 Lawrenceville Hwy Nw Ste 8, Lilburn, GA 30047 | 2013-07-15 |
| 1891273801 | Steven Thomas Hightshue | Physical Therapist | 4145 Lawrenceville Hwy Nw Ste 8, Lilburn, GA 30047-2807 | 2018-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750861217 | Latrina S Walden | Nurse Practitioner | 887 Ryan Lane, Lilburn, GA 30047 | 2018-08-15 |
| 1811483928 | Olivia Oyegunle | Optometrist | 4153 Lawrenceville Hwy Nw Ste 5, Lilburn, GA 30047 | 2018-07-02 |
| 1932619285 | Mpm Creative, LLC | Speech-Language Pathologist | 1560 Hewatt Rd, Lilburn, GA 30047 | 2017-10-01 |
| 1528515186 | Smith Dental Care of Lilburn, Inc. | Dentist | 3100 Five Forks Trickham Rd Suite 201, Lilburn, GA 30047 | 2016-09-01 |
| 1891143244 | Choices Behavioral Alternatives | Counselor | 4037 Darling Court, Suite B, Lilburn, GA 30047 | 2016-05-26 |
| 1235595687 | Georgia Dental Associates | Clinic/Center | 3100 Five Forks Trickum Road Suite 201, Lilburn, GA 30047 | 2016-01-14 |
| 1912382144 | Sangeetha Asokan | Dentist | 609, Beaver Ruin Road, Tebo Dental for Kids, Lilburn, GA 30047 | 2015-07-29 |
| 1467836403 | Pamela Neal | Registered Nurse | 3315 Landingview Ct, Lilburn, GA 30047 | 2015-07-18 |
| 1699172452 | Josie Kou, Kulah Curran | Registered Nurse | 3708 Tamer Ln, Lilburn, GA 30047 | 2014-11-21 |
| 1184039380 | Cheryl Lee | Chiropractor | 5014 Stone Mountain Hwy, Suite C, Lilburn, GA 30047 | 2014-06-25 |
| Find all providers in zip 30047 | ||||
| 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 |
|---|---|---|---|---|
| 1689272684 | Jessica Cushman | Physical Therapist | 4024 Lawrenceville Hwy Nw Ste 19, Lilburn, GA 30047-2805 | 2020-10-12 |
| 1033519699 | Denise Meadows | Physical Therapist | 4745 Bridgewater Dr Sw, Lilburn, GA 30047-3928 | 2014-09-01 |
| 1477969285 | Antonio Acosta | Physical Therapist | 3155 Preservation Cir, Lilburn, GA 30047-2069 | 2014-07-02 |
| 1689015026 | Ketreena Roshawn Footman | Physical Therapist | 4145 Lawrenceville Hwy Nw Ste 8, Lilburn, GA 30047 | 2013-07-15 |
| 1447515077 | Daniel Gam | Physical Therapist | 4153 Lawrenceville Hwy Nw Ste 11, Lilburn, GA 30047-2854 | 2012-07-10 |
| 1942456504 | Sheryl Ann Ireland | Physical Therapist | 966a Killian Hl Rd Sw, Lilburn, GA 30047-3102 | 2008-08-14 |
| 1013112648 | Shital U Shilotri | Physical Therapist | 4562 Lawrenceville Hwy Nw Ste 201, Lilburn, GA 30047-3650 | 2007-06-14 |
| 1831268564 | Brian Taglieri | Physical Therapist | 966 Killian Hill Rd Sw # A, Lilburn, GA 30047-3102 | 2006-11-07 |
| 1477580785 | Christa Norris Turner | Physical Therapist | 966a Killian Hill Rd Sw, Lilburn, GA 30047-3102 | 2006-06-26 |
| 1992772065 | Pamela G Buttram | Physical Therapist | 1003b Oak Rd Sw, Lilburn, GA 30047-1826 | 2006-03-07 |
| Find all providers in LILBURN | ||||
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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.