Independent Physical Therapy of Georgia, LLC
NPI 1770837445 · Physical Therapy Clinic/Center · Atlanta, GA
Provider details
- NPI number
- 1770837445
- 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
- Occupational Medicine Clinic/Center261QX0100X
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
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
- Other name
- Benchmark
Additional practice locations (1)
- 3645 Marketplace Blvd Ste 160East Point, GA 30344-5749Phone: (404) 662-2195Fax: (404) 662-2369
Registry dates
- Enumerated
- 2012-11-02
- Last updated
- 2018-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.