INDEPENDENT PHYSICAL THERAPY OF GA LLC (NPI# 1790293231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790293231 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT PHYSICAL THERAPY OF GA LLC |
| Practice Address |
4446 Washington Rd Ste 8 Evans GA 30809-6361 |
| Mailing Address |
6397 Lee Hwy Ste 300 Chattanooga TN 37421-2564 |
| Practice Telephone | 7068693352 |
| Practice Fax Number | 7068693299 |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-01-18 |
| Authorized Official Name | KEVIN JOHANNESON (VP REVENUE CYCLE) |
| Authorized Official Telephone | 4232383220 |
| 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 |
4446 WASHINGTON RD STE 8 |
| City | EVANS |
| State | GA |
| Zip Code | 30809-6361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376102731 | Matthew Connor | Physical Therapist | 4446 Washington Rd Ste 8, Evans, GA 30809-6361 | 2019-06-10 |
| 1316431364 | Melvin Leonard Wimmer IIi | Physical Therapist | 4446 Washington Rd Ste 8, Evans, GA 30809-6361 | 2018-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326674060 | Dominion Behavioral Health Services LLC | Psychiatric Unit | 817 Prairie Lane, Evans, GEORGIA 30809 | 2020-03-13 |
| 1710478102 | Georgia Dental Professionals, PC | Dentist | 5131 Washington Rd, Evans, GA 30809 | 2018-05-22 |
| 1649770678 | Angel Legare | Physician Assistant | 404 Town Park Blvd Ste 101, Evans, GA 30809 | 2018-02-16 |
| 1952829541 | Felicia Evette Rhodes | Home Health Aide | 715 Jones Creek, Evans, GA 30809 | 2017-09-02 |
| 1659733582 | Patricia J. Stewart Lpc, LLC | Counselor | 465 N. Belair Rd. Ste 2d, Evans, GA 30809 | 2016-03-21 |
| 1114306727 | John Mccaskey | Family Medicine | 465 N Belair Rd Ste 1b, Evans, GA 30809 | 2015-05-28 |
| 1053702878 | Jennifer Wahl | Assistant Behavior Analyst | 1135 Waltons Pass, Evans, GA 30809 | 2015-02-16 |
| 1609298777 | Custom Pharmacy, Inc | Pharmacy | 1202 Town Park Lane, Suite 200, Evans, GA 30809 | 2014-01-09 |
| 1457797938 | Perfect Health Always On Call, LLC | Non-Pharmacy Dispensing Site | 4244 Washington Rd, Evans, GA 30809 | 2013-05-11 |
| 1417207119 | Tommy Battle | Respiratory Therapist, Registered | 101 Pond View, Evans, GA 30809 | 2012-09-11 |
| Find all providers in zip 30809 | ||||
| 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 |
|---|---|---|---|---|
| 1437763984 | Kathryn Loud | Physical Therapist | 205 Addison Sq Ste 2, Evans, GA 30809-5527 | 2020-09-02 |
| 1285299883 | Kelly West | Physical Therapist | 3949 Evans To Locks Rd, Evans, GA 30809-8054 | 2019-05-08 |
| 1073005252 | Jessica Herron | Physical Therapist | 2720 Crescent Cove Dr Apt 202, Evans, CO 80620-3661 | 2018-06-04 |
| 1528419751 | Legacy Healthcare Services, Inc. | Physical Therapist | 100 Washington Commons Dr, Apt. 314, Evans, GA 30809-3159 | 2016-06-29 |
| 1639525587 | Emily Hardt | Physical Therapist | 205 Addison Sq, Unit #2, Evans, GA 30809-5526 | 2016-05-10 |
| 1023450897 | Kirsten Foley | Physical Therapist | 138 Knob Hill Dr, Evans, GA 30809-6684 | 2013-07-22 |
| 1861767394 | Madeleine Ortega | Physical Therapist | 3006 Bison Ct, Evans, CO 80620-9153 | 2012-03-16 |
| 1720359540 | Gentry Renee Purnell | Physical Therapist | 4405 Evans To Locks Road, Evans, GA 30906-7909 | 2012-01-25 |
| 1598034027 | Tracey Mayer Rogers | Physical Therapist | 702 Avrett Cir, Evans, GA 30809-6676 | 2011-12-29 |
| 1679649008 | Samantha Allison Stahl | Physical Therapist | 536 Grand Slam Dr, Evans, GA 30809-8014 | 2006-11-28 |
| Find all providers in EVANS | ||||
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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.