Independent Physical Therapy of Ga, LLC
NPI 1689048746ActiveOrganization· Physical Therapist· Dacula, GA
Physical Therapist in Dacula, Georgia, registered in NPPES in November 2015. The authorized official on file is Kevin Johanneson, Vp Revenue Cycle.
Overview
| NPI | 1689048746 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 30, 2015 |
| Last updated in NPPES | Nov 30, 2015 |
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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