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 1174927784

Independent Physical Therapy of Ga, LLC is a Physical Therapist in Canton, Georgia. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2
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

6768 Hickory Flat Hwy Ste 110
Canton, GA 30115-9376
Phone: (770) 721-5767
Fax: (770) 345-0158
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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

Record details

NPI number1174927784
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Johanneson — Vp Revenue Cycle · (423) 238-7217
Other names Benchmark Pt- Holly Springs
NPI enumeratedOctober 11, 2014
Last updated in NPPESOctober 11, 2014
Mailing address8823 Production Ln, Ooltewah, TN 37363-6511

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