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 1578064754

Independent Physical Therapy of Ga LLC is a Physical Therapist in Lilburn, Georgia. Registered with an NPI since 2018.

In the registry since
2018
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

4145 Lawrenceville Hwy NW Ste 8
Lilburn, GA 30047-2807
Phone: (423) 123-4567
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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 number1578064754
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Johanneson — Vp Revenue Cycles · (423) 238-2313
NPI enumeratedFebruary 23, 2018
Last updated in NPPESFebruary 23, 2018
Mailing address6397 Lee Hwy Ste 300, Chattanooga, TN 37421-2564

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