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Independent Physical Therapy of Ga, LLC

Physical Therapy Clinic/Center in Commerce, GA · enumerated 2006 · authorized official Kevin Johanneson, Vp Revenue Cycle.

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

National Provider Identifier

1558465914

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Registry record

Entity type Organization (Type 2)
Legal business name Independent Physical Therapy of Ga, LLC
Other name <Unavail>
Practice address 689 Hospital Rd, Commerce, GA, 30529
Phone (706) 335-9300
Fax (706) 335-9301
Enumeration date Sep 7, 2006
Last updated in NPPES Aug 31, 2015

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers Secondary
261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Secondary
261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities Primary
261QR0400X Rehabilitation Clinic/Center Ambulatory Health Care Facilities 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.

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Frequently asked questions

Where is Independent Physical Therapy of Ga, LLC located?
The practice location on file with NPPES is in Commerce, GA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-08-31. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-08-31.