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 1508424250

Independent Physical Therapy of Ga, LLC is a Physical Therapist in Statesboro, Georgia. Registered with an NPI since 2019.

In the registry since
2019
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

840 Buckhead Dr Ste C
Statesboro, GA 30458-2752
Phone: (912) 259-9355
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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 number1508424250
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Johanneson — Vp Revenue Cycle · (423) 238-2313
NPI enumeratedMay 29, 2019
Last updated in NPPESMay 29, 2019
Mailing address6397 Lee Hwy Ste 300, Chattanooga, TN 37421-4915

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