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Contact Information

INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC
3425 BUFORD DR STE 300
BUFORD, GA30519-8785
 Phone: 770-945-1045
 Fax: 770-945-5745
 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 1992983993
LBN Legal business name INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC
Authorized official TROY BAGE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/01/2008
Last updated 06/25/2010 - About 16 years ago
Identifiers
GA Other CK9205 RAILROAD MEDICARE PROVIDER #
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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