INDEPENDENT PHYSICAL THERAPY OF GA LLC
NPI 1003440033
Physical Therapist in Canton, GA

Active since February 28, 2020
3725 SIXES RD STE 105, CANTON, GA 30114(770) 213-7257(770) 213-7268 Get Directions Write a Review

NPPES record last updated: March 23, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 23, 2020, Feb 28, 2020 (2 updates tracked since 2020).

  • Organization
  • Physical Therapist
  • Accepts Insurance

About INDEPENDENT PHYSICAL THERAPY OF GA LLC

This page provides the complete NPI Profile along with additional information for Independent Physical Therapy Of Ga Llc, a provider established in Canton, Georgia operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1003440033 assigned on February 2020. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Independent Physical Therapy Of Ga Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Kevin Johanneson (Vp Revenue Cycle)

NPI
1003440033 Verify this NPI
Provider Name
INDEPENDENT PHYSICAL THERAPY OF GA LLC
Entity Type
Organization
Location Address
3725 SIXES RD STE 105 CANTON, GA 30114
Location Phone
(770) 213-7257
Location Fax
(770) 213-7268
Mailing Address
6397 LEE HWY STE 300 CHATTANOOGA, TN 37421
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-28-2020
Last Update Date
03-23-2020
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

 
2235Z00000XSpeech, Language and Hearing Service Providers

Speech-Language Pathologist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • MENDING Direct Primary Care Bronze 4950 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
  • MENDING Direct Primary Care Gold $0 Ded ($0 DPC $0 PCP + $0 Mental Health) - HMO
  • MENDING Direct Primary Care Silver 2300 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
  • MENDING Standard Bronze (No Direct Primary Care, for DPC select DPC Bronze) - HMO
  • MENDING Standard Gold (No Direct Primary Care, for DPC select DPC Gold) - HMO
  • MENDING Standard Silver (No Direct Primary Care, for DPC select DPC Silver) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KEVIN JOHANNESON

Authorized Official Title
VP REVENUE CYCLE
Authorized Official Phone
(423) 238-2313

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Physical Therapist
3725 SIXES RD STE 105
CANTON, GA 30114
Physical Therapist
3725 SIXES RD STE 105
CANTON, GA 30114

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003440033, enumerated as an "organization" on February 28, 2020.

The provider is located at 3725 SIXES RD STE 105 CANTON, GA 30114 and the phone number is (770) 213-7257.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: Mending Health. Please consult your insurance carrier or call the provider to verify.