Organization
INDEPENDENT PHYSICAL THERAPY OF GA LLC
Active
Other names
BenchMark PT - Briarcliff
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNESON (VP REVENUE CYCLE)
(423) 238-2330
Entity
Organization
Contact information
Practice address
2865B N DRUID HILLS RD NE, ATLANTA, GA 30329-3924
(404) 228-3678
(678) 705-3560
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/09/2017
Last updated
10/30/2023
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