INDEPENDENT PHYSICAL THERAPY OF GA, LLC (NPI# 1578117727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578117727 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT PHYSICAL THERAPY OF GA, LLC |
| Practice Address |
128 Duvall St Ste D Clayton GA 30525-5475 |
| Mailing Address |
6397 Lee Hwy Ste 300 Chattanooga TN 37421-4915 |
| Practice Telephone | 7069609410 |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-07-26 |
| Authorized Official Name | KEVIN JOHANNESON (VP REVENUE CYCLE) |
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1730608431 | Independent Physical Therapy of Ga, LLC | Occupational Therapist | 2100 Roswell Rd Ste 2124, Marietta, GA 30062-0874 | 2017-09-13 |
| Street Address |
128 DUVALL ST STE D |
| City | CLAYTON |
| State | GA |
| Zip Code | 30525-5475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528605839 | Charlotte Hart Fandrich | Massage Therapist | 1048 Old Highway 441 North, Clayton, GA 30525 | 2019-12-05 |
| 1922577147 | Suzanne A Frederickson | Speech-Language Pathologist | Highlands Internal Medicine, PC, 156 North Main St, Clayton, GA 30525 | 2018-11-16 |
| 1427562750 | Second Nature Blue Ridge, LLC | Psychiatric Residential Treatment Facility | 236 File St., Clayton, GA 30525 | 2017-11-22 |
| 1053854752 | Haley Vaughan Stapleton | Nurse Practitioner | 596 Mountain City Road, Clayton, GA 30525 | 2016-11-29 |
| 1154870533 | Life Point Medical, LLC | Clinic/Center | 189 Bo James Street, Suite 105, Clayton, GA 30525 | 2016-09-27 |
| 1316239122 | Jason A Bonner | Pharmacist | 1455 U.S. 441, Clayton, GA 30525 | 2011-05-11 |
| 1477842557 | Clayton Therapy Center, LLC | Marriage & Family Therapist | 24 Chechero St, Suite 2, Clayton, GA 30525 | 2011-03-29 |
| 1891959672 | Adams Hearing Aid Specialists | Hearing Instrument Specialist | 91 E Savannah Place, Clayton, GA 30525 | 2008-07-11 |
| 1578721494 | Lawrence M Gillespie | Dentist | 436 Warwoman Road, Clayton, GA 30525 | 2008-05-28 |
| 1336262112 | Clayton Family Eye Care PC | Optometrist | 50 Earl St., Suite A, Clayton, GA 30525 | 2007-04-09 |
| Find all providers in zip 30525 | ||||
| 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 |
|---|---|---|---|---|
| 1396358347 | Susan M Perlut | Physical Therapist | 10 Tuscany Park, Clayton, MO 63105-3019 | 2020-08-28 |
| 1649892720 | Sydney Belcastro | Physical Therapist | 790 N Main St Ste 102, Clayton, GA 30525-5390 | 2020-05-12 |
| 1417576562 | Jeremy Austin Chiang | Physical Therapist | 59 Greenfield Ln, Clayton, NC 27527-7008 | 2020-04-09 |
| 1336612365 | Access Physical Therapy, LLC | Physical Therapist | 8838 Us Highway 70 W Ste 300, Clayton, NC 27520-4822 | 2019-01-02 |
| 1386151181 | Josephus Peter Tolentino Wycoco | Physical Therapist | 320 Oak St Rear, Clayton, NM 88415-2536 | 2018-01-03 |
| 1275085276 | Claire Sweeney | Physical Therapist | 307 Riverside Dr, Clayton, NY 13624-1022 | 2016-10-26 |
| 1376094862 | Taylor Luke | Physical Therapist | 239 5th Ave, Clayton, WI 54004-8940 | 2016-10-19 |
| 1962956383 | Esther Kim | Physical Therapist | 509 S Hanley Rd, Clayton, MO 63105-2037 | 2016-08-15 |
| 1679945067 | Jennetta Spears | Physical Therapist | 204 Lynn Dr, Clayton, NC 27520 | 2015-10-24 |
| 1598132805 | Kimberly E Beekman | Physical Therapist | 6416 Burkwood Dr, Clayton, OH 45315-8822 | 2015-08-24 |
| Find all providers in CLAYTON | ||||
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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.