Independent Physical Therapy of Ga, LLC
NPI 1083061212ActiveOrganization· Physical Therapist· Milton, GA
Physical Therapist in Milton, Georgia, registered in NPPES in May 2016. The authorized official on file is Kevin Johanneson, Vp Revenue Cycle.
Overview
| NPI | 1083061212 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 18, 2016 |
| Last updated in NPPES | May 18, 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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