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Contact Information

INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC
800 PEACHTREE ST NE
STE E2
ATLANTA, GA30308-1245
 Phone: 404-523-7709
 Fax: 404-523-1065
 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 1457511289
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 06/16/2008
Last updated 12/06/2016 - About 9 years ago
Identifiers
GA Other CK9205 RAILROAD MEDICARE
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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