OrganizationActive
Independent Physical Therapy of Georgia, LLC
NPI 1184959645 · Physical Therapy Clinic/Center · Roswell, GA
Provider details
- NPI number
- 1184959645
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kevin Johanneson, Vp Revenue Cycle(423) 238-7217
Specialties & taxonomies
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
- Rehabilitation Clinic/Center261QR0400X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
1350 Upper Hembree Rd Ste 100
Roswell, GA 30076-0929
Phone: (770) 771-6751
Fax: (770) 754-9820
Street-level locationGet directions
Mailing address
6397 Lee Hwy Ste 300
Chattanooga, TN 37421-2564
Other names (DBA / former)
- Other name
- Benchmark Physical Therapy
Registry dates
- Enumerated
- 2009-10-16
- Last updated
- 2017-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.