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 1588213243

Independent Physical Therapy of Ga, LLC is a Physical Therapist in Kennesaw, 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

4200 Wade Green Rd NW Ste 140
Kennesaw, GA 30144-1808
Phone: (404) 111-2222
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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 number1588213243
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Johanneson — Vp Revenue Cycle · (423) 238-2313
NPI enumeratedSeptember 5, 2019
Last updated in NPPESSeptember 5, 2019
Mailing address6397 Lee Hwy Ste 300, Chattanooga, TN 37421-4915

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