Independent Physical Therapy of Ga LLC
NPI 1003440033ActiveOrganization· Physical Therapist· Canton, GA
Physical Therapist in Canton, Georgia, registered in NPPES in February 2020. The authorized official on file is Kevin Johanneson, Vp Revenue Cycle.
Overview
| NPI | 1003440033 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 28, 2020 |
| Last updated in NPPES | Mar 23, 2020 |
| Certified by provider | Mar 23, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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