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

Independent Physical Therapy of Ga, LLC

Organization Physical Therapist · NPI 1043672678

Independent Physical Therapy of Ga, LLC is a Physical Therapist in Marietta, Georgia. Registered with an NPI since 2016.

In the registry since
2016
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

3855 Shallowford Rd 415
Marietta, GA 30062-4195
Phone: (678) 352-0828
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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 number1043672678
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Johaneson — Vp Revenue Cycle · (423) 238-3220
Other names Benchmark Pt - Shallowford
NPI enumeratedMarch 23, 2016
Last updated in NPPESMarch 23, 2016
Mailing address8823 Production Ln, Ooltewah, TN 37363-6511

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