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Independent Physical Therapy of Georgia, LLC

Physical Therapy Clinic/Center in Suwanee, GA · enumerated 2013 · authorized official Kiley Russell, Manager.

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

National Provider Identifier

1366883746

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Registry record

Entity type Organization (Type 2)
Legal business name Independent Physical Therapy of Georgia, LLC
Other name <Unavail>
Practice address 3455 Peachtree Pkwy Ste 206, Suwanee, GA, 30024
Phone (678) 473-1081
Fax (678) 473-1082
Enumeration date Jul 12, 2013
Last updated in NPPES Jul 12, 2013

Taxonomy & classification

261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Secondary
261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities Primary
261QX0100X Occupational Medicine Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Kiley Russell
Title Manager
Phone (423) 238-7217

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.

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Frequently asked questions

Where is Independent Physical Therapy of Georgia, LLC located?
The practice location on file with NPPES is in Suwanee, GA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-07-12. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-07-12.