Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Independent Physical Therapy of Georgia, LLC

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

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

National Provider Identifier

1780636068

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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 1394 Battlefield Pkwy, Fort Oglethorpe, GA, 30742

Phone (706) 858-0252

Fax (706) 858-0323

Enumeration date May 16, 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
CK9204	Other	GA	RAILROAD MEDICARE

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

Where is Independent Physical Therapy of Georgia, LLC located?

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

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.

Providers at this address

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