Independent Physical Therapy of Georgia, LLC
NPI 1487606539ActiveOrganization· Physical Therapist· Tucker, GA
Physical Therapist in Tucker, Georgia, registered in NPPES in May 2006. The authorized official on file is Kevin Johanneson, Vp Revenue Cycle.
Overview
| NPI | 1487606539 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 17, 2006 |
| Last updated in NPPES | Sep 20, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Occupational Therapist, Ergonomics | 225XE1200X | — | — |
| Occupational Therapist, Hand | 225XH1200X | — | — |
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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