INDEPENDENT PHYSICAL THERAPY, LLC (NPI# 1851643944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851643944 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT PHYSICAL THERAPY, LLC |
| Practice Address |
2295 Towne Lake Pkwy Ste 148 Woodstock GA 30189-5520 |
| Mailing Address |
8823 Production Ln Ooltewah TN 37363-6511 |
| Practice Telephone | 7709262744 |
| Practice Fax Number | 7709262794 |
| Mailing Telephone | 4232387217 |
| Mailing Fax Number | 4232387217 |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-12 |
| Authorized Official Name | MARVETTE E WALLACE (DIRECTOR OF CONTRACT MANAGEMENT) |
| Authorized Official Telephone | 4232387217 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447866611 | Independent Physical Therapy, LLC | Occupational Therapist | 920 S Hartmann Dr Ste 330, Lebanon, TN 37090-4136 | 2020-09-22 |
| 1255946463 | Independent Physical Therapy, LLC | Occupational Therapist | 1011 Winn Way Ste 110, Clarksville, TN 37043-0614 | 2020-09-14 |
| 1417595364 | Independent Physical Therapy, LLC | Occupational Therapist | 2812 Old Fort Pkwy Ste D, Murfreesboro, TN 37128-4265 | 2019-12-11 |
| 1871144733 | Independent Physical Therapy, LLC | Occupational Therapist | 201 S Mccrary St, Woodbury, TN 37190-1439 | 2019-09-23 |
| 1467925651 | Independent Physical Therapy, LLC | Occupational Therapist | 4654 Nashville Hwy, Chapel Hill, TN 37034-2126 | 2019-01-10 |
| 1154891638 | Independent Physical Therapy, LLC | Occupational Therapist | 189 Monroe Pl Ste 110, Ashland City, TN 37015-4939 | 2018-11-28 |
| 1609359421 | Independent Physical Therapy, LLC | Occupational Therapist | 226 Village Square Dr, Loudon, TN 37774-2807 | 2018-09-07 |
| 1114413325 | Independent Physical Therapy, LLC | Occupational Therapist | 500 Wilson Pike Cir Ste 200, Brentwood, TN 37027-3225 | 2018-07-11 |
| 1720457989 | Independent Physical Therapy, LLC | Occupational Therapist | 7558 Mountain Grove Dr, Knoxville, TN 37920 | 2015-09-17 |
| 1710354725 | Independent Physical Therapy, LLC | Occupational Therapist | 8905 Town and Country Cir Ste 9, Knoxville, TN 37923 | 2015-08-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | INDEPENDENT PHYSICAL THERAPY, LLC | 265 Pleasant Valley Rd, Sherburne, Ny 13460 |
| Street Address |
2295 TOWNE LAKE PKWY STE 148 |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30189-5520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275552499 | Gregory Paul Vescera | Physical Therapist | 2295 Towne Lake Pkwy Ste 148, Woodstock, GA 30189-5520 | 2006-07-19 |
| 1841802808 | Taylor James Maida | Physical Therapist | 2295 Towne Lake Pkwy Ste 148, Woodstock, GA 30189-5520 | 2020-08-20 |
| 1235797663 | Matthew Thomas Kilgore | Physical Therapist | 2295 Towne Lake Pkwy Ste 148, Woodstock, GA 30189-5520 | 2019-05-31 |
| 1699249292 | Lauren Jamie Hartman | Physical Therapist | 2295 Towne Lake Pkwy Ste 148, Woodstock, GA 30189-5520 | 2019-01-16 |
| 1871070359 | Phillip Daniel Loudermilk | Physical Therapist | 2295 Towne Lake Pkwy Ste 148, Woodstock, GA 30189-5520 | 2018-07-26 |
| 1265928667 | Erica Donna Fayer | Physical Therapist | 2295 Towne Lake Pkwy Ste 148, Woodstock, GA 30189 | 2018-07-09 |
| 1083121727 | Katherine Louise Hamilton | Physical Therapy Assistant | 2295 Towne Lake Pkwy Ste 148, Woodstock, GA 30189-5520 | 2018-01-03 |
| 1700301561 | Laura Anne Jansky | Physical Therapist | 2295 Towne Lake Pkwy Ste 148, Woodstock, GA 30189-5520 | 2017-08-13 |
| 1326578949 | Kristen Elizabeth Gallagher | Physical Therapist | 2295 Towne Lake Pkwy Ste 148, Woodstock, GA 30189-5520 | 2017-06-15 |
| 1033541560 | Matthew Payom Ayers | Physical Therapist | 2295 Towne Lake Pkwy Ste 148, Woodstock, GA 30189 | 2013-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494356 | Susan Iruku | Pharmacist | 12050 Ga-92 #112, Woodstock, GA 30189 | 2020-10-15 |
| 1598267437 | Kelly Sierra | Nurse Practitioner | 100 Stoneforest Dr Ste 300, Woodstock, GA 30189 | 2018-03-07 |
| 1548770449 | Chandra Johnson | Nurse Practitioner | 295 Molly Lane Ste 150, Woodstock, GA 30189 | 2017-10-05 |
| 1083133912 | Amanda Bostock Sowisdral | Physician Assistant | 250 Parkbrooke Pl Ste 300, Woodstock, GA 30189 | 2017-09-12 |
| 1780101659 | Laura C Koch Woodstock LLC Dba Fountain View Dentistry | Dentist | 1816 Eagle Drive, Building 200-a, Woodstock, GA 30189 | 2017-08-23 |
| 1265954788 | Vicky Morton Bryan | Nurse Practitioner | 422 Sycamore Trail, Woodstock, GA 30189 | 2017-07-17 |
| 1063933588 | Marietta Eye Clinic, Pa | Optometrist | 2990 Eagle Dr Ste 110, Woodstock, GA 30189 | 2017-07-06 |
| 1275914749 | Nrup Tolat | Podiatrist | 100 Stoneforest Dr Ste 120, Woodstock, GA 30189 | 2015-06-10 |
| 1558781534 | Mary Jansson Carmon | Nurse Practitioner | 1000 Towne Lake Pkwy, Woodstock, GA 30189 | 2014-04-17 |
| 1518388941 | Afc Physicians of Georgia, PC | General Practice | 6440 Bells Ferry Rd, Woodstock, GA 30189 | 2014-01-03 |
| Find all providers in zip 30189 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841710498 | Georgia Physical Therapy & Sports Medicine Center | Clinic/Center | 970 Woodstock Pkwy Ste 300, Woodstock, GA 30188-4869 | 2017-06-26 |
| 1811511660 | Aria Physical Therapy Services LLC | Clinic/Center | 802 Song Bird Ct, Woodstock, GA 30188-3779 | 2020-06-07 |
| 1083861785 | Soar Physical Therapy, Inc | Clinic/Center | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 | 2008-08-25 |
| 1841414968 | Gaudio Inc | Clinic/Center | 7914 Highway 92, Ste 100, Woodstock, GA 30189 | 2007-04-12 |
| 1558406397 | Gaudio Inc. Dba Cherokee Physiotherapy | Clinic/Center | 7914 Highway 92, 100, Woodstock, GA 30189-5238 | 2007-02-20 |
| 1356489694 | Majercik Physical Therapy | Clinic/Center | 201 N Throop St, Woodstock, IL 60098-3224 | 2007-02-01 |
| 1487739173 | Rebound Physical Therapy, LLC | Clinic/Center | 1432 Towne Lake Pkwy, 120, Woodstock, GA 30189-8263 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205159 | Thrive Therapy and Wellness Services LLC | Clinic/Center | 106 Mims Rd, Sylvania, GA 30467-1995 | 2020-11-04 |
| 1851990063 | On The Move Massage & Physical Therapy | Clinic/Center | 7454 Silver Arrow Trl, Austell, GA 30168-2401 | 2020-10-19 |
| 1659979086 | Mvp Physio Dr. | Clinic/Center | 123 Umiya Nagar Cir, Macon, GA 31206-5401 | 2020-10-16 |
| 1972100865 | Resilient Physio, LLC | Clinic/Center | 790 West Ave, Cartersville, GA 30120-3402 | 2020-10-05 |
| 1205441987 | Fortitude Movement & Strength Inc. | Clinic/Center | 5300 Peachtree Rd Unit 2508, Atlanta, GA 30341-2457 | 2020-09-10 |
| 1376151001 | Mother and Baby Wellness Collective, LLC | Clinic/Center | 136 Millstone Way, Canton, GA 30115-7270 | 2020-07-20 |
| 1225646821 | Innovative Therapeutic Solutions, LLC | Clinic/Center | 360 Pharr Rd Ne Apt 404, Atlanta, GA 30305-2391 | 2020-07-20 |
| 1669090544 | Active Body Physiotherapy | Clinic/Center | 2968 Ask Kay Dr Se Ste B, Smyrna, GA 30082-2304 | 2020-07-08 |
| 1487270914 | Docjay Physical Therapy | Clinic/Center | 6740 Shannon Pkwy Ste 14, Union City, GA 30291-2061 | 2020-06-20 |
| 1477176923 | R & J Health Care | Clinic/Center | 6853b Douglas Blvd Ste B, Douglasville, GA 30135 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
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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.