Organization
INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC
Active
Organization
INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC
Active
Other names
BenchMark Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TROY BAGE (PRESIDENT)
(423) 238-7217
Entity
Organization
Contact information
Practice address
550 PEACHTREE ST NE, SUITE 1165, ATLANTA, GA 30308-2235
(404) 523-7709
(404) 681-2501
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
225XE1200X
Ergonomics Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK9205
RAILROAD MEDICARE PROVIDER #
GA
Enumeration date
05/17/2006
Last updated
06/16/2008
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