Independent Physical Therapy of Ga LLC
NPI 1790293231ActiveOrganization· Physical Therapist· Evans, GA
Physical Therapist in Evans, Georgia, registered in NPPES in January 2018. The authorized official on file is Kevin Johanneson, Vp Revenue Cycle.
Overview
| NPI | 1790293231 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 18, 2018 |
| Last updated in NPPES | Jan 18, 2018 |
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 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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