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Independent Physical Therapy of Ga LLC

Physical Therapist in Gainesville, GA · enumerated 2010 · authorized official Kevin Johanneson, Vp Revenue Manager.

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

National Provider Identifier

1609190941

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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 3319 Thompson Bridge Rd, Gainesville, GA, 30506
Fax (678) 207-1998
Enumeration date Mar 16, 2010
Last updated in NPPES Aug 31, 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
261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Secondary
261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities Secondary
261QR0400X Rehabilitation Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Kevin Johanneson
Title Vp Revenue Manager

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 2015-08-31. Verify at npiregistry.cms.hhs.gov.
Where is Independent Physical Therapy of Ga LLC located?
The practice location on file with NPPES is in Gainesville, GA.

Providers at this address

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