INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC (NPI# 1881005916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881005916 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC |
| Other Organization Name | BENCHMARK |
| Practice Address |
1438 Highway 16 W Ste C Griffin GA 30223-2096 |
| Mailing Address |
8823 Production Ln Ooltewah TN 37363-6511 |
| Practice Telephone | 7702330350 |
| Practice Fax Number | 7702330370 |
| Mailing Telephone | 4232387217 |
| Mailing Fax Number | 4232383473 |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2014-05-12 |
| Authorized Official Name | TROY BAGE (PRESIDENT) |
| 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 | 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 |
| 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 |
| 1770837445 | Independent Physical Therapy of Georgia, LLC | Clinic/Center | 3885 Princeton Lakes Way Sw Ste 408, Atlanta, GA 30331-5599 | 2012-11-02 |
| 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 |
| Street Address |
1438 HIGHWAY 16 W STE C |
| City | GRIFFIN |
| State | GA |
| Zip Code | 30223-2096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588694087 | Antonius Johannes Van Scherpenseel | Physical Therapist | 1438 Highway 16 W Ste C, Griffin, GA 30223-2096 | 2006-07-03 |
| 1437764677 | Brittany Velez White | Physical Therapist | 1438 Highway 16 W Ste C, Griffin, GA 30223-2096 | 2020-09-14 |
| 1972116473 | James Bradley Rowe | Physical Therapist | 1438 Highway 16 W Ste C, Griffin, GA 30223-2096 | 2020-08-25 |
| 1588222921 | Makayla J Carter | Physical Therapist | 1438 Highway 16 W Ste C, Griffin, GA 30223-2096 | 2019-05-31 |
| 1265907125 | Elizabeth Adams Riley | Physical Therapy Assistant | 1438 Highway 16 W Ste C, Griffin, GA 30223-2096 | 2018-10-08 |
| 1922580521 | Lakisha Shanay Hill | Physical Therapy Assistant | 1438 Highway 16 W Ste C, Griffin, GA 30223-2096 | 2018-08-30 |
| 1457852980 | Jonathan Michael Cree | Physical Therapist | 1438 Highway 16 W Ste C, Griffin, GA 30223-2096 | 2018-02-21 |
| 1780100768 | Benjamin Thomas Veatch | Physical Therapist | 1438 Highway 16 W Ste C, Griffin, GA 30223-2096 | 2017-08-21 |
| 1205352796 | Lina Basil Dahman | Physical Therapist | 1438 Highway 16 W Ste C, Griffin, GA 30223-2096 | 2017-08-17 |
| 1366988388 | Megan Elizabeth Wilmot | Occupational Therapist | 1438 Highway 16 W Ste C, Griffin, GA 30223-2096 | 2017-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235783036 | Jennifer Lashawn Stevenson | Registered Nurse | 1071 Highway 16 West, Griffin, GA 30223 | 2019-07-30 |
| 1992357644 | Nikki Petty | Behavior Technician | 185 Grady Street, Griffin, GA 30223 | 2019-07-12 |
| 1568940146 | Brenda Pope | Counselor | 1710 Highway 16 West, Griffin, GA 30223 | 2018-08-05 |
| 1073025151 | Vonita Clowers | Specialist | 1424 N. Expy, Suite 115, Griffin, GA 30223 | 2017-10-30 |
| 1912427592 | Sheena Murphy | Registered Nurse | 109 N. 10th Street, Griffin, GA 30223 | 2017-06-23 |
| 1033639612 | Taralyn Rae Sams | Registered Nurse | 109 North 10th Street, Griffin, GA 30223 | 2017-06-23 |
| 1326594656 | Wendell Robinson | Registered Nurse | 109 N.10th Street, Griffin, GA 30223 | 2016-08-28 |
| 1508235466 | Trenisha Jones Mccall | Counselor | 1815 North Expressway, Griffin, GA 30223 | 2015-09-22 |
| 1104224948 | Dawn Tyus | Counselor | 424 W. Taylor Street, Griffin, GA 30223 | 2014-12-10 |
| 1003173030 | Ingles Markets Inc | Pharmacy | 1735 Zebulon Rd, Griffin, GA 30223 | 2012-04-16 |
| Find all providers in zip 30223 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821567850 | Griffin Rehab Solutions, LLC | Clinic/Center | 680 S 9th St Ste A, Griffin, GA 30224-4216 | 2018-11-20 |
| 1194147215 | Esop Rehabilitation, LLC | Clinic/Center | 1435 N Expressway, Suite 201, Griffin, GA 30223-1700 | 2014-01-08 |
| 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.