Independent Physical Therapy of Georgia, LLC
NPI 1518418409ActiveOrganization· Physical Therapist· Rome, GA
Physical Therapist in Rome, Georgia, registered in NPPES in October 2016. The authorized official on file is Kevin Johanneson, Vp Provider Enrollment.
Overview
| NPI | 1518418409 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 17, 2016 |
| Last updated in NPPES | Nov 14, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Specialist/Technologist | 235500000X | — | — |
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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