Organization
INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC
Active
Other names
BenchMark Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS BRYAN BARGANIER (CFO)
(205) 536-7602
Entity
Organization
Contact information
Practice address
4215 JIMMY LEE SMITH PKWY STE 17, HIRAM, GA 30141-2640
(770) 439-4045
(770) 439-4085
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK9205
RAILROAD MEDICARE PROVIDER #
GA
Enumeration date
05/17/2006
Last updated
03/27/2023
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