INDEPENDENT PHYSICAL THERAPY OF GA, LLC (NPI# 1598241168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598241168 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT PHYSICAL THERAPY OF GA, LLC |
| Practice Address |
12050 Highway 92 Ste 112 Woodstock GA 30188-4287 |
| Mailing Address |
6397 Lee Hwy Ste 300 Chattanooga TN 37421-2564 |
| Practice Telephone | 7705163072 |
| Practice Fax Number | 7705166982 |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |
| 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 |
| 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 |
12050 HIGHWAY 92 STE 112 |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30188-4287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437174117 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 12050 Highway 92 Ste 112, Woodstock, GA 30188-4287 | 2006-07-13 |
| 1275131070 | Maivel Samir Thomas | Pharmacist | 12050 Highway 92 Ste 112, Woodstock, GA 30188-4287 | 2020-10-14 |
| 1720612732 | Valerie Avant | Pharmacist | 12050 Highway 92 Ste 112, Woodstock, GA 30188-4287 | 2020-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730715814 | Tyler Rose | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 116 South Mill Creek Court, Woodstock, GA 30188 | 2020-03-20 |
| 1881224897 | Dr. Tom LLC | Clinic/Center | 5431 Old Highway 5 Ste 206, Holly Springs, GA 30188 | 2020-01-17 |
| 1467090175 | Stacey Robin Hill | Dietitian, Registered | 210 Mcaffee St, Street Address 2, Woodstock, GA 30188 | 2019-12-12 |
| 1326681784 | Margo Vanderveen | Massage Therapist | 605 Old Hickory Road, Woodstock, GA 30188 | 2019-10-17 |
| 1275093437 | Rebekah Ruth Tchouta | Social Worker | 5166 Shotwell St, Woodstock, GA 30188 | 2019-03-23 |
| 1205395829 | Angela M Graves | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188 | 2019-03-13 |
| 1396233391 | Costco Wholesale Corporation | Hearing Aid Equipment | 113 Lincoln Street, Woodstock, GA 30188 | 2018-04-25 |
| 1659878080 | Alexis K. Brown | Counselor | 3380 Trickum Rd., Bldg 700, Woodstock, GA 30188 | 2018-04-11 |
| 1427555440 | Lisa Marie Anthony | Specialist/Technologist | 400 Arnold Mill Rd, Woodstock, GA 30188 | 2018-04-06 |
| 1497254122 | J.a.h. Enterprises, LLC | Audiologist | 12195 Hwy. 92, Suite 114-325, Woodstock, GA 30188 | 2018-02-08 |
| Find all providers in zip 30188 | ||||
| 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 |
|---|---|---|---|---|
| 1447859301 | Amanda Alicia Archer | Physical Therapist | 619 Eagles Lndg, Woodstock, GA 30188-6025 | 2020-10-21 |
| 1972116069 | Lucas Scott Butterfield | Physical Therapist | 442 E Woodstock Rd Ste 3a, Woodstock, VT 05091-3696 | 2020-08-28 |
| 1528682457 | Jignesh Patel | Physical Therapist | 802 Song Bird Ct, Woodstock, GA 30188-3779 | 2020-06-06 |
| 1184282543 | Emily Marie Quiza | Physical Therapist | 12050 Highway 92 Ste 116, Woodstock, GA 30188-4287 | 2019-05-31 |
| 1205317153 | Katelyn Corbin | Physical Therapist | 980 Woodstock Pkwy Ste 200, Woodstock, GA 30188-4871 | 2018-08-28 |
| 1922512649 | Lindsey Faye Snopek | Physical Therapist | 502 Hearthstone Rdg, Woodstock, GA 30189-5292 | 2017-11-17 |
| 1740792472 | Catherine Williams Kramer | Physical Therapist | 280 Heritage Walk, Woodstock, GA 30188-3837 | 2017-11-03 |
| 1841731569 | Aegis Group Practice, LLC | Physical Therapist | 3385 Trickum Rd, Woodstock, GA 30188-4234 | 2017-03-14 |
| 1356884407 | Paula Adamson | Physical Therapist | 10615 Happy Trl, Woodstock, IL 60098-8784 | 2016-11-22 |
| 1952856486 | Deborah Elizabeth Styron | Physical Therapist | 148 Highlands Dr, Woodstock, GA 30188-6050 | 2016-08-25 |
| Find all providers in WOODSTOCK | ||||
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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.