Independent Physical Therapy of Georgia, LLC
NPI 1124389887 · Physical Therapy Clinic/Center · Lithonia, GA
Independent Physical Therapy of Georgia, LLC is a Physical Therapy Clinic/Center organization in Lithonia, GA (NPI 1124389887).
Provider details
- NPI number
- 1124389887
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kiley Russell, Manager(423) 238-8923
Specialties & taxonomies
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
- Rehabilitation Clinic/Center261QR0400X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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)
- Other name
- Benchmark
Registry dates
- Enumerated
- 2012-05-30
- Last updated
- 2012-06-05
Frequently asked questions
- What is Independent Physical Therapy of Georgia, LLC's NPI number?
- Independent Physical Therapy of Georgia, LLC's National Provider Identifier (NPI) is 1124389887, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Independent Physical Therapy of Georgia, LLC?
- Independent Physical Therapy of Georgia, LLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Independent Physical Therapy of Georgia, LLC located?
- Independent Physical Therapy of Georgia, LLC's practice location on file with NPPES is 3007 Panola Rd Ste C, Lithonia, GA 30038-2492.
- What is Independent Physical Therapy of Georgia, LLC's phone number?
- The practice phone number listed in the NPPES registry for Independent Physical Therapy of Georgia, LLC is (770) 987-1122.
- Who is the authorized official for Independent Physical Therapy of Georgia, LLC?
- The authorized official listed on Independent Physical Therapy of Georgia, LLC's NPPES record is Kiley Russell, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Independent Physical Therapy of Georgia, LLC's NPI active?
- Yes — Independent Physical Therapy of Georgia, LLC's NPI (1124389887) is active in the NPPES registry as of the last update on 2012-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.