INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC (NPI# 1770837445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770837445 |
Entity Type | Organization |
Organization Name | INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC |
Other Organization Name | BENCHMARK |
Practice Address |
3885 Princeton Lakes Way Sw Ste 408 Atlanta GA 30331-5599 |
Mailing Address |
6397 Lee Hwy Ste 300 Chattanooga TN 37421-2564 |
Practice Telephone | 4043442823 |
Practice Fax Number | 4046293737 |
Mailing Telephone | 4232387217 |
Mailing Fax Number | 4232383473 |
Enumeration Date | 2012-11-02 |
Last Update Date | 2018-11-06 |
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 | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities | ||
N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
BenchMark | Other Name - Individual/Organization |
Address | Telephone Number | Fax Number |
---|---|---|
3645 Marketplace Blvd Ste 160, East Point, GA 303445749 | 4046622195 | 4046622369 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518418409 | Independent Physical Therapy of Georgia, LLC | Occupational Therapist | 330 Turner Mccall Blvd Sw Ste 2000, Rome, GA 30165-5618 | 2016-10-17 |
1114384500 | Independent Physical Therapy of Georgia, LLC | Occupational Therapist | 744 Noah Dr Ste 107, Jasper, GA 30143-8704 | 2016-01-15 |
1497159198 | Independent Physical Therapy of Georgia, LLC | Occupational Therapist | 1021 Parkway Blvd, Ste 101, Athens, GA 30606-6189 | 2014-10-09 |
1376956003 | Independent Physical Therapy of Georgia, LLC | Clinic/Center | 5500 Chamblee Dunwoody Rd Ste 5b, Dunwoody, GA 30338-4162 | 2014-06-10 |
1437589116 | Independent Physical Therapy of Georgia, LLC | Occupational Therapist | 463 Turner Mccall Blvd Ne, Rome, GA 30165-2735 | 2013-11-18 |
1225462740 | Independent Physical Therapy of Georgia, LLC | Clinic/Center | 2120 W Spring St Ste 1600, Monroe, GA 30655-3901 | 2013-09-03 |
1366883746 | Independent Physical Therapy of Georgia, LLC | Clinic/Center | 3455 Peachtree Pkwy Ste 206, Suwanee, GA 30024-9104 | 2013-07-12 |
1457608861 | Independent Physical Therapy of Georgia, LLC | Occupational Therapist | 1453 Riverstone Pkwy, Ste 170, Canton, GA 30114-5626 | 2012-08-06 |
1780947978 | Independent Physical Therapy of Georgia, LLC | Clinic/Center | 2255 Peachtree Rd Ne, Ste G, Atlanta, GA 30309-1101 | 2012-06-21 |
1013292135 | Independent Physical Therapy of Georgia, LLC | Clinic/Center | 921 Moores Ferry Rd Ste D, Villa Rica, GA 30180-9700 | 2011-10-20 |
Street Address |
3885 PRINCETON LAKES WAY SW STE 408 |
City | ATLANTA |
State | GA |
Zip Code | 30331-5599 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669071155 | Clennysha Jones | Physical Therapist | 3885 Princeton Lakes Way Sw Ste 408, Atlanta, GA 30331-5599 | 2020-10-26 |
1841800638 | Amber Steele | Physical Therapist | 3885 Princeton Lakes Way Sw Ste 408, Atlanta, GA 30331-5599 | 2020-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861001174 | Whitney Flemister | Social Worker | 3961 Princeton Lakes Way Sw, Atlanta, GA 30331 | 2020-07-23 |
1982237400 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 | 2020-02-13 |
1295375558 | Drusilla Precious Cudjoe | Behavior Technician | 3800 Camp Creek Parkway Sw, Building 1400, Atlanta, GA 30331 | 2020-01-14 |
1497262778 | Champions Pharmacy | Pharmacy | 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 | 2018-01-08 |
1033629779 | Carmen Ardoin | Counselor | 2636 Martin Luther King Jr. Drive, Suite 12, Atlanta, GA 30331 | 2017-10-09 |
1346759974 | Neva R Allison | Nurse Practitioner | 2611 Dayview Ln, Atlanta, GA 30331 | 2017-09-26 |
1538678255 | Natalie Mckay | Technician/Technologist | 3915 Cascade Rd, 220, Atlanta, GA 30331 | 2017-09-26 |
1700304268 | Tyrone Pipkin | Contractor | 415 Kendrick Terrace Sw, Atlanta, GA 30331 | 2017-09-05 |
1073031688 | Kristen Wooldridge | Pharmacist | 3695 Cascade Road, Atlanta, GA 30331 | 2017-09-04 |
1548704687 | Advance Pain Management | Health Maintenance Organization | 2950 Stone Hogan Road Connector, Atlanta, GA 30331 | 2016-12-08 |
Find all providers in zip 30331 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205441987 | Fortitude Movement & Strength Inc. | Clinic/Center | 5300 Peachtree Rd Unit 2508, Atlanta, GA 30341-2457 | 2020-09-10 |
1225646821 | Innovative Therapeutic Solutions, LLC | Clinic/Center | 360 Pharr Rd Ne Apt 404, Atlanta, GA 30305-2391 | 2020-07-20 |
1700355690 | Lindsay Hazel Bautista | Clinic/Center | 3380 Peachtree Rd Ne Unit 814, Atlanta, GA 30326-1645 | 2018-11-20 |
1891281218 | Well Equipt | Clinic/Center | 2426 Ridgewood Rd Nw, Atlanta, GA 30318-1316 | 2018-07-09 |
1811426075 | Assistcare Surgical Aftercare and Physical Therapy | Clinic/Center | 3576 Chamblee Tucker Rd Ste Bc&d, Atlanta, GA 30341-4424 | 2017-06-09 |
1871022541 | Aczi, LLC | Clinic/Center | 2800 N Druid Hills Rd Ne Ste C, Atlanta, GA 30329-3987 | 2017-06-07 |
1134587074 | Functionize Health & Physical Therapy | Clinic/Center | 1199 Saint Andrews Cir, Atlanta, GA 30338-3201 | 2016-02-07 |
1952779043 | Holistic Occupational and Physical Therapy | Clinic/Center | 1393 Blairwood Ct, Atlanta, GA 30331-7491 | 2015-09-08 |
1225416100 | Fit Core Physical Therapy, Inc. | Clinic/Center | 4779 S Atlanta Rd Se Ste 200, Atlanta, GA 30339-1565 | 2015-05-12 |
1538561659 | Golden Way Group Inc | Clinic/Center | 235 Peachtree Street, Suite 400, Atlanta, GA 30303 | 2014-09-19 |
Find all providers in ATLANTA |
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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.