Independent Physical Therapy of Ga, LLC
NPI 1043672678ActiveOrganization· Physical Therapist· Marietta, GA
Physical Therapist in Marietta, Georgia, registered in NPPES in March 2016. The authorized official on file is Kevin Johaneson, Vp Revenue Cycle.
Overview
| NPI | 1043672678 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 23, 2016 |
| Last updated in NPPES | Mar 23, 2016 |
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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