NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Independent Physical Therapy of Ga, LLC

Physical Therapist in St Simons Island, GA · enumerated 2015 · authorized official Kevin Johanneson, Vp Revenue Cycle.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023489432

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Independent Physical Therapy of Ga, LLC
Other name <Unavail>
Practice address 20 Market St Ste 102, St Simons Island, GA, 31522
Phone (912) 634-5885
Fax (912) 634-5805
Enumeration date Oct 12, 2015
Last updated in NPPES Oct 12, 2015

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers Secondary

Authorized official

Name Kevin Johanneson
Title Vp Revenue Cycle
Phone (423) 238-8923

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Independent Physical Therapy of Ga, LLC?
The NPI for Independent Physical Therapy of Ga, LLC is 1023489432, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Independent Physical Therapy of Ga, LLC?
NPPES lists Kevin Johanneson (Vp Revenue Cycle) as the authorized official for this organization.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-10-12.