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 1699264267

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

2838 E Atlanta Rd Ste 2
Ellenwood, GA 30294-2780
Phone: (833) 308-0278
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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 number1699264267
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Johanneson — Vp Revenue Cycle · (423) 238-2313
NPI enumeratedMay 9, 2018
Last updated in NPPESMay 9, 2018
Mailing address6397 Lee Hwy Ste 300, Chattanooga, TN 37421-2564

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