What is Independent Physical Therapy of Ga, LLC's NPI number?

Independent Physical Therapy of Ga, LLC's National Provider Identifier (NPI) is 1629431929, 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 62 Carriage Oaks Dr, Tyrone, GA 30290-1684.

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 (770) 969-7166.

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 (1629431929) is active in the NPPES registry as of the last update on 2016-04-04.

OrganizationActive

Independent Physical Therapy of Ga, LLC

NPI 1629431929 · Physical Therapist · Tyrone, GA

Independent Physical Therapy of Ga, LLC is a Physical Therapist organization in Tyrone, GA (NPI 1629431929).

Provider details

NPI number: 1629431929
Entity type: Organization
Primary specialty: Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Organization subpart: No
Authorized official: Kevin Johanneson, Vp Revenue Cycle(423) 238-3220

Practice location

62 Carriage Oaks Dr

Tyrone, GA 30290-1684

Phone: (770) 969-7166

Street-level locationGet directions

More GA providers

Mailing address

8823 Production Ln

Ooltewah, TN 37363-6511

Specialties & taxonomies

Physical TherapistPrimary225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers

Other names (DBA / former)

Doing business as: Benchmark PT - Tyrone

Profile Score

Established profile(73/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
10 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.

Enumerated: 2016-04-04
Last updated: 2016-04-04

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 1629431929, 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 62 Carriage Oaks Dr, Tyrone, GA 30290-1684.
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 (770) 969-7166.
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 (1629431929) is active in the NPPES registry as of the last update on 2016-04-04.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions