Independent Physical Therapy of Georgia, LLC
NPI 1497159198ActiveOrganization· Physical Therapist· Athens, GA
Physical Therapist in Athens, Georgia, registered in NPPES in October 2014. The authorized official on file is Kevin Johanneson, Vp Revenue Cycle Operations.
Overview
| NPI | 1497159198 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 9, 2014 |
| Last updated in NPPES | Oct 9, 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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