Independent Physical Therapy of Ga, LLC
NPI 1285284505ActiveOrganization· Physical Therapist· Gainesville, GA
Physical Therapist in Gainesville, Georgia, registered in NPPES in September 2019. The authorized official on file is Kevin Johanneson, Vp Revenue Cycle.
Overview
| NPI | 1285284505 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 18, 2019 |
| Last updated in NPPES | Sep 18, 2019 |
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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