Independent Physical Therapy, LLC
NPI 1124363304 · Physical Therapy Clinic/Center · Douglasville, GA
Independent Physical Therapy, LLC is a Physical Therapy Clinic/Center organization in Douglasville, GA (NPI 1124363304).
Provider details
- NPI number
- 1124363304
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marvette Wallace, Director of Contract Managment(423) 238-7217
Specialties & taxonomies
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
- Occupational Medicine Clinic/Center261QX0100X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Benchmark of Ga
Registry dates
- Enumerated
- 2012-11-29
- Last updated
- 2013-02-14
Frequently asked questions
- What is Independent Physical Therapy, LLC's NPI number?
- Independent Physical Therapy, LLC's National Provider Identifier (NPI) is 1124363304, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Independent Physical Therapy, LLC?
- Independent Physical Therapy, LLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Independent Physical Therapy, LLC located?
- Independent Physical Therapy, LLC's practice location on file with NPPES is 2750 Chapel Hill Rd Ste 1200, Douglasville, GA 30135-1721.
- What is Independent Physical Therapy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Independent Physical Therapy, LLC is (678) 981-6290.
- Who is the authorized official for Independent Physical Therapy, LLC?
- The authorized official listed on Independent Physical Therapy, LLC's NPPES record is Marvette Wallace, Director of Contract Managment. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Independent Physical Therapy, LLC's NPI active?
- Yes — Independent Physical Therapy, LLC's NPI (1124363304) is active in the NPPES registry as of the last update on 2013-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.