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 1407080740

Independent Physical Therapy of Ga, LLC is a Physical Therapist in Jefferson, Georgia. Registered with an NPI since 2009.

In the registry since
2009
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

1689 Old Pendergrass Rd Ste 300
Jefferson, GA 30549-2716
Phone: (706) 387-0212
Fax: (706) 387-0213
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 number1407080740
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Johanneson — Vp Revenue Cycle · (423) 238-8923
Other names Benchmark Pt
NPI enumeratedMay 14, 2009
Last updated in NPPESOctober 19, 2017
Mailing address6397 Lee Hwy Ste 300, Chattanooga, TN 37421-2564

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