Independent Physical Therapy of Ga LLC
NPI 1609190941ActiveOrganization· Physical Therapist· Gainesville, GA
Physical Therapist in Gainesville, Georgia, registered in NPPES in March 2010. The authorized official on file is Kevin Johanneson, Vp Revenue Manager.
Overview
| NPI | 1609190941 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 16, 2010 |
| Last updated in NPPES | Aug 31, 2015 |
Specialties and licenses
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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