Independent Physical Therapy Of Georgia, Llc in Ooltewah - Multi-specialty
Independent Physical Therapy Of Georgia, Llc - NPI 1457511289
Independent Physical Therapy Of Georgia, Llc is a Multi-specialty in Ooltewah, Tennessee. Independent Physical Therapy Of Georgia, Llc practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Independent Physical Therapy Of Georgia, Llc is 1457511289. The last update date is 2016-12-06.
Independent Physical Therapy Of Georgia, Llc's current location address is 8823 Production Ln, Ooltewah, Tennessee. You can contact this provider via phone number 4232387217 and fax number 4232383473. The mailing address for Independent Physical Therapy Of Georgia, Llc is 8823 Production Ln, Ooltewah, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Independent Physical Therapy Of Georgia, Llc |
|---|---|
| Address | 8823 Production Ln, Ooltewah, Tennessee |
| Phone Number | 4232387217 |
| Fax Number | 4232383473 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP REVENUE |
|---|---|
| Authorized Official Name | Johanneson Kevin |
| Telephone Number | 4232387217 |
NPI Number Detail
| NPI Number | 1457511289 |
|---|---|
| Provider Enumeration Date | 2008-06-16 |
| Last Updated Date | 2016-12-06 |
Provider Mailing Address Detail
| Address | 8823 Production Ln |
|---|---|
| City | Ooltewah |
| State | Tennessee (TN) |
| Post Code | 373636511 |
| Phone Number | 4232387217 |
| Fax Number | 4232383473 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CK9205 | GA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Independent Physical Therapy Of Georgia, Llc by the Centers for Medicare & Medicaid Services?
The Independent Physical Therapy Of Georgia, Llc has been issued the NPI (National Provider Identifier) 1457511289, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Independent Physical Therapy Of Georgia, Llc is geographically located?
The Independent Physical Therapy Of Georgia, Llc is physically situated at the following location: 8823 Production Ln, Ooltewah, TN, 373636511.
What is Independent Physical Therapy Of Georgia, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Independent Physical Therapy Of Georgia, Llc's area of specialization is Multi-specialty, and the corresponding taxonomy code that categorizes this field of practice is 261Qm1300X.
When was the Independent Physical Therapy Of Georgia, Llc's 1457511289 issued?
The Independent Physical Therapy Of Georgia, Llc's 1457511289 was issued on 2008-06-16.
When was the information pertaining to Independent Physical Therapy Of Georgia, Llc most recently updated or revised?
The details related to Independent Physical Therapy Of Georgia, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2016-12-06.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY