Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Independent Physical Therapy of Georgia, LLC

Organization Multi-Specialty Clinic/Center · NPI 1124389887

Independent Physical Therapy of Georgia, LLC is a Multi-Specialty Clinic/Center in Lithonia, Georgia. Registered with an NPI since 2012.

In the registry since
2012
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

3007 Panola Rd Ste C
Lithonia, GA 30038-2492
Phone: (770) 987-1122
Fax: (770) 987-1149
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X
Rehabilitation Clinic/Center Taxonomy 261QR0400X

Record details

NPI number1124389887
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kiley Russell — Manager · (423) 238-8923
Other names Benchmark
NPI enumeratedMay 30, 2012
Last updated in NPPESJune 5, 2012
Mailing address8823 Production Ln, Ooltewah, TN 37363-6511

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