Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Independent Physical Therapy of Ga, LLC

Organization Physical Therapist · NPI 1023489432

Independent Physical Therapy of Ga, LLC is a Physical Therapist in St Simons Island, Georgia. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20 Market St Ste 102
St Simons Island, GA 31522-1986
Phone: (912) 634-5885
Fax: (912) 634-5805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1023489432
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Johanneson — Vp Revenue Cycle · (423) 238-8923
Other names Benchmark Pt
NPI enumeratedOctober 12, 2015
Last updated in NPPESOctober 12, 2015
Mailing address8823 Production Ln, Ooltewah, TN 37363-6511

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