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Contact Information

INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC
2255 PEACHTREE RD NE
STE G
ATLANTA, GA30309-1101
 Phone: 404-351-3257
 Fax: 404-351-3896
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy

261QP2000X
 

Medical Specialty

261QM2500X
 

Occupational Medicine

261QX0100X
Indicates primary specialty

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

NPI # 1780947978
LBN Legal business name INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC
Authorized official KILEY RUSSELL - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/21/2012
Last updated 08/10/2012 - About 14 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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