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 1376079772

Independent Physical Therapy of Ga, LLC is a Physical Therapist in Port Wentworth, Georgia. Registered with an NPI since 2017.

In the registry since
2017
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

7938 Ga Highway 21 Ste 300
Port Wentworth, GA 31407-9807
Phone: (912) 965-0601
Fax: (912) 965-0603
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 number1376079772
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Johanneson — Vp Revenue Cycle · (423) 238-3220
Other names Benchmark Pt - Port Wentworth
NPI enumeratedMay 4, 2017
Last updated in NPPESMay 4, 2017
Mailing address8823 Production Ln, Ooltewah, TN 37363-6511

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