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Contact Information

INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC
1350 UPPER HEMBREE RD STE 100
ROSWELL, GA30076-0929
 Phone: 770-771-6751
 Fax: 770-754-9820
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy

261QP2000X
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Rehabilitation

261QR0400X B4[14] Rehabilitation Agency
Indicates primary specialty

NPI Profile & details for INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC

NPI Number 1184959645
LBN Legal business name INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC
Authorized official KEVIN JOHANNESON - (VP REVENUE CYCLE)
Entity Organization
Organization subpart 1 No
Enumeration date 10/16/2009
Last updated 09/20/2017 - About 9 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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