Independent Physical Therapy of Ga, LLC
NPI 1164699542ActiveOrganization· Occupational Therapist· Dawsonville, GA
Occupational Therapist in Dawsonville, Georgia, registered in NPPES in May 2008. The authorized official on file is Kevin Johanneson, Vp Revenue Cycle.
Overview
| NPI | 1164699542 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 14, 2008 |
| Last updated in NPPES | Aug 31, 2015 |
Specialties and licenses
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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