Independent Physical Therapy of Ga, LLC
NPI 1174927784ActiveOrganization· Physical Therapist· Canton, GA
Physical Therapist in Canton, Georgia, registered in NPPES in October 2014. The authorized official on file is Kevin Johanneson, Vp Revenue Cycle.
Overview
| NPI | 1174927784 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 11, 2014 |
| Last updated in NPPES | Oct 11, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
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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