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Independent Physical Therapy of Ga LLC

Physical Therapist in Evans, GA · enumerated 2018 · authorized official Kevin Johanneson, Vp Revenue Cycle.

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

National Provider Identifier

1790293231

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Registry record

Entity type Organization (Type 2)
Legal business name Independent Physical Therapy of Ga LLC
Practice address 4446 Washington Rd Ste 8, Evans, GA, 30809
Fax (706) 869-3299
Enumeration date Jan 18, 2018
Last updated in NPPES Jan 18, 2018

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

Authorized official

Name Kevin Johanneson
Title Vp Revenue Cycle

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

Who is the authorized official for Independent Physical Therapy of Ga LLC?
NPPES lists Kevin Johanneson (Vp Revenue Cycle) as the authorized official for this organization.
What is the NPI number for Independent Physical Therapy of Ga LLC?
The NPI for Independent Physical Therapy of Ga LLC is 1790293231, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-01-18.