INDEPENDENT PHYSICAL THERAPY OF GA, LLC (NPI# 1588213243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588213243 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT PHYSICAL THERAPY OF GA, LLC |
| Practice Address |
4200 Wade Green Rd Nw Ste 140 Kennesaw GA 30144-1808 |
| Mailing Address |
6397 Lee Hwy Ste 300 Chattanooga TN 37421-4915 |
| Practice Telephone | 4041112222 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |
| 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 |
| 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 |
| 1730608431 | Independent Physical Therapy of Ga, LLC | Occupational Therapist | 2100 Roswell Rd Ste 2124, Marietta, GA 30062-0874 | 2017-09-13 |
| Street Address |
4200 WADE GREEN RD NW STE 140 |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| Find all providers in zip 30144 | ||||
| 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 |
|---|---|---|---|---|
| 1285100321 | Gunnar Mendiola | Physical Therapist | 3150 N Cobb Pkwy Ste 150, Kennesaw, GA 30152-1009 | 2018-10-16 |
| 1417405499 | Kendall E Wilde | Physical Therapist | 1615 Ridenour Blvd Nw Ste 204, Kennesaw, GA 30152-4464 | 2016-09-19 |
| 1619421435 | Albert James Mayhan Iv | Physical Therapist | 1990 Vaughn Rd Nw, Suite 330, Kennesaw, GA 30144-7098 | 2016-08-10 |
| 1013250943 | Divya Subhadra Nadimpalli | Physical Therapist | 2011 Mccook Dr Nw, Kennesaw, GA 30144-3164 | 2013-03-28 |
| 1558605527 | Arielle Danae Ball | Physical Therapist | 1950 Barrett Lakes Blvd Nw, Kennesaw, GA 30144-7556 | 2012-11-15 |
| 1831477660 | Melody Ann Woodard | Physical Therapist | 2869 Amesbury Pl Nw, Kennesaw, GA 30144-7382 | 2011-07-27 |
| 1205144433 | Princess Wells | Physical Therapist | 440 Ernest West Barrett Parkway, Suite # 58, Kennesaw, GA 30144-4918 | 2010-09-22 |
| 1558530188 | Yolonda Jefferson | Physical Therapist | 455 Ethridge Dr Nw, Kennesaw, GA 30144-6694 | 2008-02-28 |
| 1609998012 | Tiffany Nichole Grzan | Physical Therapist | 2994 Bancroft Gln Nw, Kennesaw, GA 30144-5775 | 2007-04-04 |
| 1649328238 | William Pete Tjaden Jr. | Physical Therapist | 2911 George Busbee Pkwy Nw Ste 50, Kennesaw, GA 30144-6910 | 2007-01-08 |
| Find all providers in KENNESAW | ||||
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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.