Independent Physical Therapy of Ga, LLC
NPI 1245784727ActiveOrganization· Physical Therapist· Norcross, GA
Physical Therapist in Norcross, Georgia, registered in NPPES in August 2016. The authorized official on file is Kevin Johanneson, Vp Revenue Cycle.
Overview
| NPI | 1245784727 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 12, 2016 |
| Last updated in NPPES | Aug 12, 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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