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 1083162978

Independent Physical Therapy of Ga, LLC is a Physical Therapist in Pooler, 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

119 Canal St Ste 104
Pooler, GA 31322-4095
Phone: (912) 330-8444
Fax: (912) 330-8844
Show map & directions

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 number1083162978
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Johanneson — Vp Of Revenue · (423) 238-3220
Other names Benchmark Pt - Pooler
NPI enumeratedSeptember 20, 2016
Last updated in NPPESSeptember 20, 2016
Mailing address8823 Production Ln, Ooltewah, TN 37363-6511

Other providers in Pooler