Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Independent Physical Therapy of Ga, LLC

Organization Physical Therapist · NPI 1023489432

Independent Physical Therapy of Ga, LLC provides Physical Therapist services in St Simons Island, Georgia. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20 Market St Ste 102
St Simons Island, GA 31522-1986 Not confirmed with CMS for 10 years — call before visiting
Phone: (912) 634-5885
Fax: (912) 634-5805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1023489432
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Johanneson — Vp Revenue Cycle · (423) 238-8923
Other names Benchmark Pt
NPI enumeratedOctober 12, 2015
Last updated in NPPESOctober 12, 2015
Mailing address8823 Production Ln, Ooltewah, TN 37363-6511

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