Independent Physical Therapy of Ga, LLC
NPI 1508424250 · Physical Therapist · Statesboro, GA
Independent Physical Therapy of Ga, LLC is a Physical Therapist organization in Statesboro, GA (NPI 1508424250).
Provider details
- NPI number
- 1508424250
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kevin Johanneson, Vp Revenue Cycle(423) 238-2313
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
Registry dates
- Enumerated
- 2019-05-29
- Last updated
- 2019-05-29
Frequently asked questions
- What is Independent Physical Therapy of Ga, LLC's NPI number?
- Independent Physical Therapy of Ga, LLC's National Provider Identifier (NPI) is 1508424250, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Independent Physical Therapy of Ga, LLC?
- Independent Physical Therapy of Ga, LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Independent Physical Therapy of Ga, LLC located?
- Independent Physical Therapy of Ga, LLC's practice location on file with NPPES is 840 Buckhead Dr Ste C, Statesboro, GA 30458-2752.
- What is Independent Physical Therapy of Ga, LLC's phone number?
- The practice phone number listed in the NPPES registry for Independent Physical Therapy of Ga, LLC is (912) 259-9355.
- Who is the authorized official for Independent Physical Therapy of Ga, LLC?
- The authorized official listed on Independent Physical Therapy of Ga, LLC's NPPES record is Kevin Johanneson, Vp Revenue Cycle. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Independent Physical Therapy of Ga, LLC's NPI active?
- Yes — Independent Physical Therapy of Ga, LLC's NPI (1508424250) is active in the NPPES registry as of the last update on 2019-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.