Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Independent Physical Therapy of Georgia, LLC

Physical Therapist in Tucker, GA · enumerated 2006 · authorized official Kevin Johanneson, Vp Revenue Cycle.

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

National Provider Identifier

1487606539

Verified

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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 4404 Hugh Howell Rd Ste 18, Tucker, GA, 30084

Phone (770) 493-5543

Fax (770) 493-5549

Enumeration date May 17, 2006

Last updated in NPPES Sep 20, 2017

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary

225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

225XE1200X Ergonomics Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

225XH1200X Hand Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

Authorized official

Name Kevin Johanneson

Title Vp Revenue Cycle

Phone (423) 238-7217

Other identifiers

Identifier	Type	State	Issuer
CK9205	Other	GA	RAILROAD MEDICARE PROVIDER #

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-09-20. Verify at npiregistry.cms.hhs.gov.

Where is Independent Physical Therapy of Georgia, LLC located?

The practice location on file with NPPES is in Tucker, GA.

Providers at this address

Browse all →

Independent Physical Therapy of Georgia, LLC Physical Therapy Clinic/Center · Tucker, GA NPI 1982859419 Spencer Lasky Physical Therapist · Tucker, GA NPI 1154635670 Benchmark Healthcare Services LLC Physical Therapy Clinic/Center · Tucker, GA NPI 1366758476 Laura Schirmer Physical Therapist · Tucker, GA NPI 1083109078 Eryn Herman Occupational Therapist · Tucker, GA NPI 1699309831 Sarah Lavin Physical Therapist · Tucker, GA NPI 1376156851

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-09-20.