Independent Physical Therapy of Georgia, LLC
NPI 1780636068 · Physical Therapist · Fort Oglethorpe, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Independent Physical Therapy of Georgia, LLC is a Physical Therapist organization in Fort Oglethorpe, GA (NPI 1780636068).
Provider details
- NPI number
- 1780636068
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kevin Johanneson, Vp Revenue Cycle(423) 238-7217
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Ergonomics Occupational Therapist225XE1200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Hand Occupational Therapist225XH1200X
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
20 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)
- Doing business as
- Benchmark Physical Therapy
Registry dates
- Enumerated
- 2006-05-16
- Last updated
- 2017-09-20
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 1780636068, 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 Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Independent Physical Therapy of Georgia, LLC located?
- Independent Physical Therapy of Georgia, LLC's practice location on file with NPPES is 1394 Battlefield Pkwy, Fort Oglethorpe, GA 30742-4010.
- 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 (706) 858-0252.
- Does Independent Physical Therapy of Georgia, LLC accept Medicare?
- Independent Physical Therapy of Georgia, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- 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 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 Georgia, LLC's NPI active?
- Yes — Independent Physical Therapy of Georgia, LLC's NPI (1780636068) is active in the NPPES registry as of the last update on 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.